Vaardahl, Michael D

Vaardahl, Michael D is an individual health care provider with primary practice located at 1931 65Th Ave Ste A, Greeley CO 80634-7945. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Vaardahl, Michael D can be contacted via phone (970) 351-0900.

Contact Information

Primary practice address
1931 65Th Ave Ste A Greeley CO 80634-7945
Phone: (970) 351-0900
Fax: (970) 351-0940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 596 Colorado

Profile Details

NPI number 1265429369
LBN Legal business name Vaardahl, Michael D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Aug 6th, 2008 - 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 1265429369 NPPES
Colorado MEDICAID 16254031

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