Chamberlain, Vicki W
Chamberlain, Vicki W is an individual health care provider with primary practice located at 217 Saint James Ave Ste. A5, Goose Creek SC 29445-2938. She recently has only one registered license in Eye and Vision Services Providers / Ophthalmic, which is considered as her primary health care specialty. Chamberlain, Vicki W can be contacted via phone (843) 797-5711.Contact Information
Primary practice address
217 Saint James Ave Ste. A5
Goose Creek SC 29445-2938
Phone: (843) 797-5711
Fax: (843) 797-5712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Ophthalmic | 156FX1100X | 535 | South Carolina |
Profile Details
| NPI number | 1063536142 |
|---|---|
| LBN Legal business name | Chamberlain, Vicki W |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 9th, 2007 - 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 | 1063536142 | NPPES |
| South Carolina | MEDICAID | DV5352 |
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