Dennis, Vickie L

Dennis, Vickie L is an individual health care provider with primary practice located at 415 Jefferson St North , Wadena MN 56482-1296. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Dennis, Vickie L can be contacted via phone (218) 631-3510.

Contact Information

Primary practice address
415 Jefferson St North Wadena MN 56482-1296
Phone: (218) 631-3510
Fax: (218) 631-7507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 29545 Minnesota

Profile Details

NPI number 1013908961
LBN Legal business name Dennis, Vickie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Oct 11th, 2016 - about 9 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 1013908961 NPPES
Other 0702775 MEDICA HEALTH PLANS
Other 254013 MEDICA HEALTH PLANS
Other 2114073 MEDICA HEALTH PLANS
Other 50A46DE MEDICA HEALTH PLANS
Other 110425 MEDICA HEALTH PLANS
Other HP25416 MEDICA HEALTH PLANS
Other COMP MEDICA HEALTH PLANS
Other 160037460 MEDICA HEALTH PLANS
MEDICAID 338577900 MEDICA HEALTH PLANS
Other COMP MEDICA HEALTH PLANS
Other 596760 MEDICA HEALTH PLANS

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