Veenendaal, Mark
Veenendaal, Mark is an individual health care provider with primary practice located at 405 W Greenlawn Ave Ste 400, Lansing MI 48910-2898. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Veenendaal, Mark can be contacted via phone (517) 483-7550.Contact Information
Primary practice address
405 W Greenlawn Ave Ste 400
Lansing MI 48910-2898
Phone: (517) 483-7550
Fax: (517) 882-4144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301036312 | Michigan |
Profile Details
| NPI number | 1538167325 |
|---|---|
| LBN Legal business name | Veenendaal, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| 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 | 1538167325 | NPPES |
| Michigan | MEDICAID | 1817507 |
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