Vanderen, John M

Vanderen, John M is an individual health care provider with primary practice located at 613 23Rd St Ste 230, Ashland KY 41101-2876. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Vanderen, John M can be contacted via phone (606) 324-4745.

Contact Information

Primary practice address
613 23Rd St Ste 230 Ashland KY 41101-2876
Phone: (606) 324-4745
Fax: (606) 324-4941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 27105 Kentucky
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 27105 Kentucky

Profile Details

NPI number 1811986094
LBN Legal business name Vanderen, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Feb 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811986094 NPPES
Ohio MEDICAID 2138252
Ohio MEDICAID 6020006000
Ohio MEDICAID 64271059
Ohio Other 000000065461

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