Mckissick, Vicki
Mckissick, Vicki is an sole proprietor health care provider with primary practice located at 2131 Murfreesboro Pike Ste 210 , Nashville TN 37217-6306. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Mckissick, Vicki can be contacted via phone (615) 715-1182.Contact Information
Primary practice address
2131 Murfreesboro Pike Ste 210
Nashville TN 37217-6306
Phone: (615) 715-1182
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | L000000017408 | Tennessee |
Profile Details
| NPI number | 1558837104 |
|---|---|
| LBN Legal business name | Mckissick, Vicki |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 22nd, 2018 |
| Last updated | Oct 22nd, 2018 - about 6 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 | 1558837104 | NPPES |
| Tennessee | MEDICAID | QO21777 |
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