Vitangcol, Aileen Jo
Vitangcol, Aileen Jo is an individual health care provider with primary practice located at 2002 S 11Th St , Niles MI 49120-4074. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Vitangcol, Aileen Jo can be contacted via phone (269) 687-0200.Contact Information
Primary practice address
2002 S 11Th St
Niles MI 49120-4074
Phone: (269) 687-0200
Fax: (269) 684-0199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A97605 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301093128 | Michigan |
Profile Details
| NPI number | 1457567935 |
|---|---|
| LBN Legal business name | Vitangcol, Aileen Jo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2007 |
| Last updated | Apr 17th, 2013 - about 13 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 | 1457567935 | NPPES |
| Michigan | MEDICAID | 1457567935 |
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