Harrell, Vickie N

Harrell, Vickie N is an sole proprietor health care provider with primary practice located at 292 Forest Park Cir , Panama City FL 32405-4921. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Harrell, Vickie N can be contacted via phone (850) 913-0018.

Contact Information

Primary practice address
292 Forest Park Cir Panama City FL 32405-4921
Phone: (850) 913-0018
Fax: (850) 913-9137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME0070385 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0070385 Florida

Profile Details

NPI number 1730155060
LBN Legal business name Harrell, Vickie N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2006
Last updated Oct 23rd, 2019 - about 5 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 1730155060 NPPES
Florida MEDICAID 379777500

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