Venerable, Rashawn Winfred
Venerable, Rashawn Winfred is an individual health care provider with primary practice located at 1801 W Maumee St Ste 100 , Adrian MI 49221-1291. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Venerable, Rashawn Winfred can be contacted via phone (517) 265-6131.Contact Information
Primary practice address
1801 W Maumee St Ste 100
Adrian MI 49221-1291
Phone: (517) 265-6131
Fax: (517) 265-7326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | RV015354 | Michigan |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 5101015354 | Michigan |
Profile Details
| NPI number | 1720164973 |
|---|---|
| LBN Legal business name | Venerable, Rashawn Winfred |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Feb 14th, 2019 - about 5 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 | 1720164973 | NPPES |
| Michigan | MEDICAID | 4910917 |
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