Perdomo, Vanessa Danette

Perdomo, Vanessa Danette is an individual health care provider with primary practice located at 1101 W University Dr Emergency Department, Rochester MI 48307-1863. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Perdomo, Vanessa Danette can be contacted via phone (248) 652-5000.

Contact Information

Primary practice address
1101 W University Dr Emergency Department Rochester MI 48307-1863
Fax: (248) 652-5014
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601006483 Michigan

Profile Details

NPI number 1871898320
LBN Legal business name Perdomo, Vanessa Danette
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2011
Last updated Apr 6th, 2024 - about 2 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 1871898320 NPPES
Other 12552858 CAQH

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