Vanfossan, Donald Duane
Vanfossan, Donald Duane is an sole proprietor health care provider with primary practice located at 201 Clinton Rd Suite 106, Jackson CA 95642-2648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Vanfossan, Donald Duane can be contacted via phone (209) 223-3021.Contact Information
Primary practice address
201 Clinton Rd Suite 106
Jackson CA 95642-2648
Phone: (209) 223-3021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 00G577420 | California |
Profile Details
| NPI number | 1336219930 |
|---|---|
| LBN Legal business name | Vanfossan, Donald Duane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336219930 | NPPES |
| California | MEDICAID | 00G577420 |
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