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
Fax: (703) 391-3414
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558397190 NPPES
Illinois MEDICAID 016005260

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