Vanleeuwen, Craig W
Vanleeuwen, Craig W is an individual health care provider with primary practice located at 5770 S 250 E Suite 410, Murray UT 84107-8100. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vanleeuwen, Craig W can be contacted via phone (801) 314-4420.Contact Information
Primary practice address
5770 S 250 E Suite 410
Murray UT 84107-8100
Phone: (801) 314-4420
Fax: (801) 314-4421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 111152-9934 | Utah |
Profile Details
| NPI number | 1427149905 |
|---|---|
| LBN Legal business name | Vanleeuwen, Craig W |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Oct 9th, 2013 - about 11 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 | 1427149905 | NPPES |
| Utah | MEDICAID | 1427149905 |
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