Vondrell, Douglas Patrick

Vondrell, Douglas Patrick is an individual health care provider with primary practice located at 3090 Yoakam Rd , Lima OH 45806-1144. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Vondrell, Douglas Patrick can be contacted via phone (567) 204-4365.

Contact Information

Primary practice address
3090 Yoakam Rd Lima OH 45806-1144
Phone: (567) 204-4365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1710554522
LBN Legal business name Vondrell, Douglas Patrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2021
Last updated Jun 9th, 2021 - 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 1710554522 NPPES
Ohio MEDICAID 910001044390

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