Vanderlaan, Alissa

Vanderlaan, Alissa is an individual health care provider with primary practice located at 1101 Health Professions Bldg , Mt Pleasant MI 48859-0001. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Vanderlaan, Alissa can be contacted via phone (989) 774-3904.

Contact Information

Primary practice address
1101 Health Professions Bldg Mt Pleasant MI 48859-0001
Phone: (989) 774-3904
Fax: (989) 774-1891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1601000734 Michigan

Profile Details

NPI number 1265880660
LBN Legal business name Vanderlaan, Alissa
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2016
Last updated Aug 17th, 2016 - 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 1265880660 NPPES
Michigan Other 1601000734 STATE LICENSE

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