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
Fax: (937) 427-2989
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134252778 NPPES
Ohio Other 2108203 INDEPENDENT PROVIDER
Ohio Other 311752863 INDEPENDENT PROVIDER

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