Driver, Vickie Rae
Driver, Vickie Rae is an individual health care provider with primary practice located at 3600 Joseph Siewick Dr , Fairfax VA 22033-1709. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Driver, Vickie Rae can be contacted via phone (703) 391-3600.Contact Information
Primary practice address
3600 Joseph Siewick Dr
Fairfax VA 22033-1709
Phone: (703) 391-3600
Fax: (703) 391-3414
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 2338 | Massachusetts |
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 0103301330 | Virginia |
Profile Details
NPI number | 1558397190 |
---|---|
LBN Legal business name | Driver, Vickie Rae |
Credentials | DPM,MS,FACFAS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 24th, 2006 |
Last updated | Aug 27th, 2021 - about 4 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 | 1558397190 | NPPES |
Illinois | MEDICAID | 016005260 |
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