Cefalo, Vivian R

Cefalo, Vivian R is an individual health care provider with primary practice located at 1407 N Tracy Blvd , Tracy CA 95376-3445. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Cefalo, Vivian R can be contacted via phone (209) 524-1211.

Contact Information

Primary practice address
1407 N Tracy Blvd Tracy CA 95376-3445
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X NMW1509 California

Profile Details

NPI number 1194853622
LBN Legal business name Cefalo, Vivian R
Credentials NMW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 1st, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194853622 NPPES
California Other NP9791 NURSE PRACTITIONER LICENSE

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