Venneman, Mikayla

Venneman, Mikayla is an individual health care provider with primary practice located at 375 Apple Tree Dr , Ionia MI 48846-7506. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Venneman, Mikayla can be contacted via phone (616) 527-1790.

Contact Information

Primary practice address
375 Apple Tree Dr Ionia MI 48846-7506
Fax:
Website:

Health care specialties

Profile Details

NPI number 1679243380
LBN Legal business name Venneman, Mikayla
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2021
Last updated Sep 14th, 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 1679243380 NPPES
Michigan MEDICAID 1715928

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