Headen, Vivian Marie
Headen, Vivian Marie is an sole proprietor health care provider with primary practice located at 209 S 2Nd Ave , Siler City NC 27344-3429. She recently has only one registered license in Agencies / Nursing Care, which is considered as her primary health care specialty. Headen, Vivian Marie can be contacted via phone (919) 663-1366.Contact Information
Primary practice address
209 S 2Nd Ave
Siler City NC 27344-3429
Phone: (919) 663-1366
Fax: (919) 663-1369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Nursing Care | 251J00000X | 3408022 | North Carolina |
Profile Details
| NPI number | 1790828770 |
|---|---|
| LBN Legal business name | Headen, Vivian Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1790828770 | NPPES |
| North Carolina | MEDICAID | 3408022 |
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