Beatty, Vicki Ann

Beatty, Vicki Ann is an individual health care provider with primary practice located at 2201 S Getty St , Muskegon MI 49444-1207. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Beatty, Vicki Ann can be contacted via phone (231) 767-9830.

Contact Information

Primary practice address
2201 S Getty St Muskegon MI 49444-1207
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2902012343 Michigan

Profile Details

NPI number 1447766977
LBN Legal business name Beatty, Vicki Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2017
Last updated Dec 20th, 2017 - about 7 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 1447766977 NPPES
Michigan MEDICAID 2902012343

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