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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720164973 NPPES
Michigan MEDICAID 4910917

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