Van Daalen, James M

Van Daalen, James M is an individual health care provider with primary practice located at 207 Sparks Ave Ste 201 , Jeffersonville IN 47130-3739. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Van Daalen, James M can be contacted via phone (812) 280-1419.

Contact Information

Primary practice address
207 Sparks Ave Ste 201 Jeffersonville IN 47130-3739
Phone: (812) 280-1419
Fax: (812) 280-1451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 10146343A Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 01046343A Indiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 26040 Kentucky

Profile Details

NPI number 1972516094
LBN Legal business name Van Daalen, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Feb 26th, 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 1972516094 NPPES
Kentucky Other 26040 STATE LICENSE
Kentucky Other 01046343A STATE LICENSE
Kentucky MEDICAID 100388990 STATE LICENSE
Kentucky Other 1059597 STATE LICENSE
Kentucky MEDICAID 64260409 STATE LICENSE

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