Vanvooren, Mary Elizabeth

Vanvooren, Mary Elizabeth is an sole proprietor health care provider with primary practice located at 1045 Atlantic Ave Suite 807, Long Beach CA 90813-3408. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Vanvooren, Mary Elizabeth can be contacted via phone (562) 437-3338.

Contact Information

Primary practice address
1045 Atlantic Ave Suite 807 Long Beach CA 90813-3408
Phone: (562) 437-3338
Fax: (562) 437-1919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4551 California

Profile Details

NPI number 1356303432
LBN Legal business name Vanvooren, Mary Elizabeth
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2006
Last updated Nov 4th, 2021 - about 3 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 1356303432 NPPES
California MEDICAID 000E45510

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