Vantuyl, Michael C
Vantuyl, Michael C is an individual health care provider with primary practice located at 615 Fairhurst St , Sterling CO 80751-4523. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Vantuyl, Michael C can be contacted via phone (970) 526-5555.Contact Information
Primary practice address
615 Fairhurst St
Sterling CO 80751-4523
Phone: (970) 526-5555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 2010005862 | Missouri |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 16303 | Nevada |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 9833 | North Dakota |
Profile Details
| NPI number | 1134261902 |
|---|---|
| LBN Legal business name | Vantuyl, Michael C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Aug 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134261902 | NPPES |
| Arizona | Other | 1134261902 | BCBS OF AZ |
| Arizona | MEDICAID | 226346 | BCBS OF AZ |
| Arizona | Other | 5193524 | BCBS OF AZ |
| Arizona | Other | 1134261902 | BCBS OF AZ |
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