Healthcare Provider Details

I. General information

NPI: 1023206828
Provider Name (Legal Business Name): VAP PROFESSIONALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2007
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21675 COOLIDGE HWY STE C
OAK PARK MI
48237-3171
US

IV. Provider business mailing address

21675 COOLIDGE HWY STE C
OAK PARK MI
48237-3171
US

V. Phone/Fax

Practice location:
  • Phone: 248-352-0000
  • Fax: 248-352-0001
Mailing address:
  • Phone: 248-352-0000
  • Fax: 248-352-0001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: VINCENT ANTHONY POMA
Title or Position: PRESIDENT
Credential:
Phone: 248-352-0000