Provider Demographics
NPI:1144239450
Name:VOREIS, JEFFREY DEAN (MD)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:DEAN
Last Name:VOREIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 CAMBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36093-1261
Mailing Address - Country:US
Mailing Address - Phone:334-567-5626
Mailing Address - Fax:334-514-0324
Practice Address - Street 1:41 CAMBRIDGE CT
Practice Address - Street 2:
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36093-1261
Practice Address - Country:US
Practice Address - Phone:334-567-5626
Practice Address - Fax:334-514-0324
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00011280207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000012444Medicaid
AL51029936OtherBLUE CROSS
AL51029936OtherBLUE CROSS
C74271Medicare UPIN