Vidergar, Lad Joseph
Vidergar, Lad Joseph is an sole proprietor health care provider with primary practice located at 4646 John R St , Detroit MI 48201-1916. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Vidergar, Lad Joseph can be contacted via phone (313) 576-1000.Contact Information
Primary practice address
4646 John R St
Detroit MI 48201-1916
Phone: (313) 576-1000
Fax: (313) 576-1091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301003401 | Michigan |
Profile Details
| NPI number | 1982616363 |
|---|---|
| LBN Legal business name | Vidergar, Lad Joseph |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jul 13th, 2007 - about 18 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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