Vickers, Daniel Glen

Vickers, Daniel Glen is an individual health care provider with primary practice located at 138 Service Rd Ste D100 , East Lansing MI 48824-1313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Vickers, Daniel Glen can be contacted via phone (517) 353-5053.

Contact Information

Primary practice address
138 Service Rd Ste D100 East Lansing MI 48824-1313
Phone: (517) 353-5053
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101016856 Michigan

Profile Details

NPI number 1902007644
LBN Legal business name Vickers, Daniel Glen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Apr 12th, 2016 - about 8 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 1902007644 NPPES
Michigan MEDICAID 1902007644

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