Brackett, Vicki W
Brackett, Vicki W is an individual health care provider with primary practice located at 4515 Brambleton Ave , Roanoke VA 24018-3436. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brackett, Vicki W can be contacted via phone (540) 961-1230.Contact Information
Primary practice address
4515 Brambleton Ave
Roanoke VA 24018-3436
Phone: (540) 961-1230
Fax: (540) 951-0613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2202002644 | Virginia |
Profile Details
| NPI number | 1700922697 |
|---|---|
| LBN Legal business name | Brackett, Vicki W |
| Credentials | M.S.,CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Sep 24th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700922697 | NPPES |
| Virginia | Other | 7779221 | AETNA |
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