Carmack Hall, Vicki J
Carmack Hall, Vicki J is an sole proprietor health care provider with primary practice located at 1303 Windsor Dr , Beavercreek OH 45434-8029. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Carmack Hall, Vicki J can be contacted via phone (937) 974-0411.Contact Information
Primary practice address
1303 Windsor Dr
Beavercreek OH 45434-8029
Phone: (937) 974-0411
Fax: (937) 427-2989
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | PN.084143 | Ohio |
Profile Details
NPI number | 1134252778 |
---|---|
LBN Legal business name | Carmack Hall, Vicki J |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 13th, 2007 |
Last updated | Mar 6th, 2016 - about 8 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 | 1134252778 | NPPES |
Ohio | Other | 2108203 | INDEPENDENT PROVIDER |
Ohio | Other | 311752863 | INDEPENDENT PROVIDER |
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