Healthcare Provider Details

I. General information

NPI: 1093030959
Provider Name (Legal Business Name): VPA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2010
Last Update Date: 04/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 CAVALIER BLVD STE 120
FLORENCE KY
41042-3970
US

IV. Provider business mailing address

PO BOX 1500
NOVI MI
48376-1500
US

V. Phone/Fax

Practice location:
  • Phone: 859-283-0544
  • Fax: 859-283-0554
Mailing address:
  • Phone: 248-324-0700
  • Fax: 248-324-1477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number StateKY

VIII. Authorized Official

Name: ERLINDA B DELPILAR
Title or Position: OWNER
Credential: MD
Phone: 248-893-0500