Anderson, Vicki

Anderson, Vicki is an sole proprietor health care provider with primary practice located at 4107 E 146Th St , Cleveland OH 44128-1827. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Anderson, Vicki can be contacted via phone (216) 295-9139.

Contact Information

Primary practice address
4107 E 146Th St Cleveland OH 44128-1827
Phone: (216) 295-9139
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN075916 MEDS Ohio

Profile Details

NPI number 1609083229
LBN Legal business name Anderson, Vicki
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609083229 NPPES
Ohio MEDICAID 2470240
Ohio Other PN075916 MEDS

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