Provider Demographics
NPI:1467518605
Name:VANORE, JOHN V (DPM)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:V
Last Name:VANORE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-5213
Mailing Address - Country:US
Mailing Address - Phone:256-547-1631
Mailing Address - Fax:256-547-1632
Practice Address - Street 1:306 S 4TH ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5213
Practice Address - Country:US
Practice Address - Phone:256-547-1631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL203213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
T37623Medicare UPIN
1241170001Medicare NSC
AL000078369Medicare ID - Type Unspecified