Laveroni, Eugene Walter
Laveroni, Eugene Walter is an individual health care provider with primary practice located at 28100 Grand River Ave Ste 200 , Farmington Hills MI 48336-5969. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Laveroni, Eugene Walter can be contacted via phone (947) 521-8829.Contact Information
Primary practice address
28100 Grand River Ave Ste 200
Farmington Hills MI 48336-5969
Phone: (947) 521-8829
Fax: (248) 471-8352
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 5101009202 | Michigan |
Profile Details
| NPI number | 1285621474 |
|---|---|
| LBN Legal business name | Laveroni, Eugene Walter |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Nov 17th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285621474 | NPPES |
| Michigan | Other | 500564 | DMC |
| Michigan | MEDICAID | 3020482 | DMC |
| Michigan | Other | P69099 | DMC |
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