Provider Demographics
NPI:1962198192
Name:VAC HEALTH PC
Entity type:Organization
Organization Name:VAC HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CHERFAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:734-634-6343
Mailing Address - Street 1:5449 S OCCIDENTAL RD
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:MI
Mailing Address - Zip Code:49286-9782
Mailing Address - Country:US
Mailing Address - Phone:517-423-3901
Mailing Address - Fax:517-423-8199
Practice Address - Street 1:5449 S OCCIDENTAL RD
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:MI
Practice Address - Zip Code:49286-9782
Practice Address - Country:US
Practice Address - Phone:517-423-3901
Practice Address - Fax:517-423-8199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty