Vanderheiden, David Loyd

Vanderheiden, David Loyd is an sole proprietor health care provider with primary practice located at 4818 Holly Rd Suite A, Corpus Christi TX 78411-4734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vanderheiden, David Loyd can be contacted via phone (361) 993-1747.

Contact Information

Primary practice address
4818 Holly Rd Suite A Corpus Christi TX 78411-4734
Fax: (361) 993-1748
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X H8480 Texas

Profile Details

NPI number 1790779247
LBN Legal business name Vanderheiden, David Loyd
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2005
Last updated Mar 8th, 2017 - about 9 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 1790779247 NPPES
Texas MEDICAID 114951003
Texas Other 88T881

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