Ventocilla, Carmen R
Ventocilla, Carmen R is an sole proprietor health care provider with primary practice located at 3960 Patient Care Way Suite 102, Lansing MI 48911-4275. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Ventocilla, Carmen R can be contacted via phone (517) 351-8123.Contact Information
Primary practice address
3960 Patient Care Way Suite 102
Lansing MI 48911-4275
Phone: (517) 351-8123
Fax: (517) 351-1352
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | CV405064 | Michigan |
Profile Details
| NPI number | 1265482129 |
|---|---|
| LBN Legal business name | Ventocilla, Carmen R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | Oct 29th, 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 | 1265482129 | NPPES |
| Michigan | Other | 25008734 | RAILROAD MEDICARE |
| Michigan | Other | 0331111 | RAILROAD MEDICARE |
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