Vermeulen, Fred Donald

Vermeulen, Fred Donald is an individual health care provider with primary practice located at 1420 E Seventh St , Charlotte NC 28204-2408. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Vermeulen, Fred Donald can be contacted via phone (704) 375-0100.

Contact Information

Primary practice address
1420 E Seventh St Charlotte NC 28204-2408
Phone: (704) 375-0100
Fax: (704) 375-8623
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 26065 North Carolina
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 26065 North Carolina

Profile Details

NPI number 1447231519
LBN Legal business name Vermeulen, Fred Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Sep 2nd, 2010 - about 16 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 1447231519 NPPES
North Carolina MEDICAID 8984992

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