Marie, Vickie
Marie, Vickie is an sole proprietor health care provider with primary practice located at 10553 S Calumet Ave , Chicago IL 60628-2836. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Marie, Vickie can be contacted via phone (773) 264-2687.Contact Information
Primary practice address
10553 S Calumet Ave
Chicago IL 60628-2836
Phone: (773) 264-2687
Fax: (773) 264-2687
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 164003006 | Illinois |
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 37001171A | Indiana |
Profile Details
NPI number | 1841337086 |
---|---|
LBN Legal business name | Marie, Vickie |
Credentials | MA, RD, LDN |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 30th, 2007 |
Last updated | Dec 29th, 2010 - about 15 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 | 1841337086 | NPPES |
Illinois | Other | 0001633301 | BLUE CROSS BLUE SHIELD |
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