Van Orden, Ingrid S

Van Orden, Ingrid S is an individual health care provider with primary practice located at 1875 Century Blvd Ne Suite 150, Atlanta GA 30345-3319. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Van Orden, Ingrid S can be contacted via phone (404) 633-4595.

Contact Information

Primary practice address
1875 Century Blvd Ne Suite 150 Atlanta GA 30345-3319
Fax: (404) 633-6637
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036894 Georgia

Profile Details

NPI number 1891741773
LBN Legal business name Van Orden, Ingrid S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jul 8th, 2007 - about 19 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 1891741773 NPPES
Georgia MEDICAID 00635775

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