Jeremiah J Vallender, LPN is a
Licensed Practical Nurse based in Bridgeport, Michigan. Jeremiah J Vallender is licensed to practice in Michigan (license number 4703103784) and his current practice location is
7560 Moorish Rd, Bridgeport, Michigan. He can be reached at his office (for appointments etc.) via phone at
(989) 355-5944.
NPI number for Jeremiah J Vallender is 1508422528 and his current mailing address is 7560 Moorish Rd, Bridgeport, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508422528.
Provider's Profile
| Full Name | Jeremiah J Vallender |
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| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | 7560 Moorish Rd, Bridgeport, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508422528
- Provider Enumeration Date: 05/15/2019
- Last Update Date: 05/15/2019
Medical Identifiers
Medical identifiers for Jeremiah J Vallender such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508422528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 4703103784 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeremiah J Vallender is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeremiah J Vallender, LPN
7560 Moorish Rd,
Bridgeport, MI 48722-9769
Ph: () - | Jeremiah J Vallender, LPN
7560 Moorish Rd,
Bridgeport, MI 48722-9769
Ph: (989) 355-5944 |
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