Eason, Vicki L

Eason, Vicki L is an individual health care provider with primary practice located at 1120 Grove Rd Suite B, Greenville SC 29605-4656. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Eason, Vicki L can be contacted via phone (864) 455-8897.

Contact Information

Primary practice address
1120 Grove Rd Suite B Greenville SC 29605-4656
Phone: (864) 455-8897
Fax: (864) 455-6598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APN164 South Carolina

Profile Details

NPI number 1083722185
LBN Legal business name Eason, Vicki L
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Jun 3rd, 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 1083722185 NPPES
South Carolina MEDICAID MW0036

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