Vaneken, Mia Lynne

Vaneken, Mia Lynne is an individual health care provider with primary practice located at 21321 E Ocotillo Rd Ste 127 , Queen Creek AZ 85142-5995. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Vaneken, Mia Lynne can be contacted via phone (480) 597-4835.

Contact Information

Primary practice address
21321 E Ocotillo Rd Ste 127 Queen Creek AZ 85142-5995
Phone: (480) 597-4835
Fax: (833) 450-4835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 3984 Arizona
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 3984 Arizona

Profile Details

NPI number 1457324576
LBN Legal business name Vaneken, Mia Lynne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Apr 26th, 2024 - about 2 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 1457324576 NPPES
Arizona MEDICAID 872532

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