Vanek, David Vance

Vanek, David Vance is an sole proprietor health care provider with primary practice located at 9395 W Pocatello Creek Rd , Pocatello ID 83201-9049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Vanek, David Vance can be contacted via phone (208) 232-1162.

Contact Information

Primary practice address
9395 W Pocatello Creek Rd Pocatello ID 83201-9049
Phone: (208) 232-1162
Fax: (208) 241-7575
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M4597 Idaho

Profile Details

NPI number 1689669772
LBN Legal business name Vanek, David Vance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2005
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 1689669772 NPPES
Idaho Other 000010005817 REGENCE BLUE SHIELD OF ID
Idaho Other 45971 REGENCE BLUE SHIELD OF ID

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