David B Vanholla, MD
Individual provider Active NPI Psychiatry Physician · Norway, MI
NPI 1699754457 · NPPES record last updated Oct 27, 2015
Key facts
- NPI
- 1699754457
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 4301074540 (MI)
- Practice address
- 640 Main Steet
Norway, MI 49870 - Phone
- (906) 779-7001
- Fax
- (906) 779-7006
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan B. Hanert DO, PC | Psychiatry | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301074540 | MI | Yes |
Addresses
Primary practice location
640 Main Steet
Norway, MI 49870
Mailing address
640 Main St
Norway, MI 49870-1246
Phone (906) 779-7001
Other providers in Norway, MI
All providers in Norway, MI · Psychiatry Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.