Vitaz, Todd W

Vitaz, Todd W is an individual health care provider with primary practice located at 275 Michigan St Ne , Grand Rapids MI 49503-2531. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Vitaz, Todd W can be contacted via phone (616) 267-7900.

Contact Information

Primary practice address
275 Michigan St Ne Grand Rapids MI 49503-2531
Phone: (616) 267-7900
Fax: (616) 267-7901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 4301101710 Michigan

Profile Details

NPI number 1770576977
LBN Legal business name Vitaz, Todd W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Dec 10th, 2024 - about 2 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 1770576977 NPPES
Kentucky Other 3637830 CIGNA - NNIKY
Kentucky Other 047131 CIGNA - NNIKY
Kentucky Other 196290EEEE CIGNA - NNIKY
Kentucky MEDICAID 4301101710 CIGNA - NNIKY
Kentucky Other 000023035G CIGNA - NNIKY
Kentucky Other 000000604896 CIGNA - NNIKY
Kentucky MEDICAID 200365220 CIGNA - NNIKY
Kentucky Other 3694171000 CIGNA - NNIKY
Kentucky Other P00711479 CIGNA - NNIKY

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