Vermeulen, Michael Wayne

Vermeulen, Michael Wayne is an individual health care provider with primary practice located at 5206 Research Dr , San Antonio TX 78240-5251. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Vermeulen, Michael Wayne can be contacted via phone (210) 595-5300.

Contact Information

Primary practice address
5206 Research Dr San Antonio TX 78240-5251
Phone: (210) 595-5300
Fax: (210) 614-8740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA04518 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04518 Texas

Profile Details

NPI number 1407829872
LBN Legal business name Vermeulen, Michael Wayne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jul 27th, 2022 - about 4 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 1407829872 NPPES
Texas MEDICAID 217869101

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