Vliek, Michael Gordon

Vliek, Michael Gordon is an individual health care provider with primary practice located at 615 E Crosstown Pkwy , Kalamazoo MI 49001-2501. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Vliek, Michael Gordon can be contacted via phone (269) 553-7077.

Contact Information

Primary practice address
615 E Crosstown Pkwy Kalamazoo MI 49001-2501
Phone: (269) 553-7077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 4704306893 Michigan

Profile Details

NPI number 1649760497
LBN Legal business name Vliek, Michael Gordon
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2018
Last updated May 17th, 2018 - about 7 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 1649760497 NPPES
Michigan MEDICAID 170066253

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