Versackas, Michael James

Versackas, Michael James is an individual health care provider with primary practice located at 1212 Pleasant St Suite 202, Des Moines IA 50309-1414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Versackas, Michael James can be contacted via phone (515) 243-1580.

Contact Information

Primary practice address
1212 Pleasant St Suite 202 Des Moines IA 50309-1414
Phone: (515) 243-1580
Fax: (515) 243-1442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 19328 Iowa

Profile Details

NPI number 1457309551
LBN Legal business name Versackas, Michael James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated May 26th, 2010 - about 15 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 1457309551 NPPES
Iowa MEDICAID 0179994
Iowa MEDICAID 0041798

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