Boll, Vickie
Boll, Vickie is an individual health care provider with primary practice located at 4804 W Clearwater Ave , Kennewick WA 99336-2119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Boll, Vickie can be contacted via phone (509) 942-2355.Contact Information
Primary practice address
4804 W Clearwater Ave
Kennewick WA 99336-2119
Phone: (509) 942-2355
Fax: (509) 222-1289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA338 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1392 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60168389 | Washington |
Profile Details
| NPI number | 1396737706 |
|---|---|
| LBN Legal business name | Boll, Vickie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jan 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396737706 | NPPES |
| Idaho | Other | 000010152179 | BLUE SHIELD-DOWNEY |
| Idaho | Other | 000010161109 | BLUE SHIELD-DOWNEY |
| Idaho | MEDICAID | 1396737706 | BLUE SHIELD-DOWNEY |
| Idaho | Other | PAND8 | BLUE SHIELD-DOWNEY |
| Idaho | Other | PANE5 | BLUE SHIELD-DOWNEY |
| Idaho | Other | 000010152180 | BLUE SHIELD-DOWNEY |
| Idaho | MEDICAID | 2054118 | BLUE SHIELD-DOWNEY |
| Idaho | Other | 000010152181 | BLUE SHIELD-DOWNEY |
| Idaho | Other | 000010152182 | BLUE SHIELD-DOWNEY |
| Idaho | Other | PANH9 | BLUE SHIELD-DOWNEY |
| Idaho | Other | HB721Z | BLUE SHIELD-DOWNEY |
| Idaho | Other | PAE62 | BLUE SHIELD-DOWNEY |
| Idaho | MEDICAID | 807226500 | BLUE SHIELD-DOWNEY |
| Idaho | Other | PANF3 | BLUE SHIELD-DOWNEY |
| Idaho | Other | PANG1 | BLUE SHIELD-DOWNEY |
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