Vinnal, Matthew

Vinnal, Matthew is an individual health care provider with primary practice located at 4100 Lake Dr Se Suite 305, Grand Rapids MI 49546-8292. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Vinnal, Matthew can be contacted via phone (616) 267-8860.

Contact Information

Primary practice address
4100 Lake Dr Se Suite 305 Grand Rapids MI 49546-8292
Phone: (616) 267-8860
Fax: (616) 267-8442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X Colorado

Profile Details

NPI number 1528317971
LBN Legal business name Vinnal, Matthew
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2012
Last updated Aug 31st, 2012 - about 13 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 1528317971 NPPES
Other 060802310 BOC

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