Ventimiglia, William A

Ventimiglia, William A is an sole proprietor health care provider with primary practice located at 21000 E 12 Mile Rd Ste 112 , Saint Clair Shores MI 48081-1156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Ventimiglia, William A can be contacted via phone (586) 772-5550.

Contact Information

Primary practice address
21000 E 12 Mile Rd Ste 112 Saint Clair Shores MI 48081-1156
Phone: (586) 772-5550
Fax: (586) 772-2470
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301049948 Michigan

Profile Details

NPI number 1376568915
LBN Legal business name Ventimiglia, William A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2006
Last updated Jul 10th, 2023 - 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 1376568915 NPPES
Michigan Other 0E00425 BLUE CROSS
Michigan MEDICAID 3332229 BLUE CROSS

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