Vredevoogd, Michael James

Vredevoogd, Michael James is an sole proprietor health care provider with primary practice located at 36385 Harper Ave , Clinton Township MI 48035-4635. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Vredevoogd, Michael James can be contacted via phone (586) 741-0295.

Contact Information

Primary practice address
36385 Harper Ave Clinton Township MI 48035-4635
Phone: (586) 741-0295
Fax: (586) 792-5190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 63010006531 Michigan

Profile Details

NPI number 1205985397
LBN Legal business name Vredevoogd, Michael James
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205985397 NPPES
Michigan Other 680EO1478 BLUE CROSS BLUE SHIELD

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