Van Fossen, Victoria
Van Fossen, Victoria is an individual health care provider with primary practice located at 95 Arch St Ste 280 , Akron OH 44304-1499. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Van Fossen, Victoria can be contacted via phone (330) 564-2438.Contact Information
Primary practice address
95 Arch St Ste 280
Akron OH 44304-1499
Phone: (330) 564-2438
Fax: (330) 564-2442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35064327 | Ohio |
Profile Details
| NPI number | 1295734275 |
|---|---|
| LBN Legal business name | Van Fossen, Victoria |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Jun 11th, 2014 - about 12 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 | 1295734275 | NPPES |
| Ohio | MEDICAID | 2039109 | |
| Ohio | Other | P00211104 | |
| Ohio | Other | 000000334071 |
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