Dickerson, Penny Vanosdol
Dickerson, Penny Vanosdol is an individual health care provider with primary practice located at 206 Park Place Blvd. , Kissimmee FL 34741-2344. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Dickerson, Penny Vanosdol can be contacted via phone (407) 846-0023.Contact Information
Primary practice address
206 Park Place Blvd.
Kissimmee FL 34741-2344
Phone: (407) 846-0023
Fax: (407) 483-1064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1952440430 |
|---|---|
| LBN Legal business name | Dickerson, Penny Vanosdol |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Nov 10th, 2010 - about 14 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 | 1952440430 | NPPES |
| Florida | MEDICAID | 751022500 |
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