Vanorsdoll, Roger J

Vanorsdoll, Roger J is an sole proprietor health care provider with primary practice located at 3100 Windsor Ct , Elkhart IN 46514-5556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Vanorsdoll, Roger J can be contacted via phone (574) 206-8800.

Contact Information

Primary practice address
3100 Windsor Ct Elkhart IN 46514-5556
Fax: (574) 206-8806
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01030025A Indiana

Profile Details

NPI number 1922160373
LBN Legal business name Vanorsdoll, Roger J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922160373 NPPES
Indiana Other 01030025A MEDICAL LICENCING BOARD

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