Vantiem, Marvin Michael
Vantiem, Marvin Michael is an individual health care provider with primary practice located at 920 W Broadway , Monticello IN 47960. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Vantiem, Marvin Michael can be contacted via phone (574) 583-5811.Contact Information
Primary practice address
920 W Broadway
Monticello IN 47960
Phone: (574) 583-5811
Fax: (574) 583-0949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 586 | Indiana |
Profile Details
| NPI number | 1144398991 |
|---|---|
| LBN Legal business name | Vantiem, Marvin Michael |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1144398991 | NPPES |
| Other | 000000184607 | BCBS |
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