Nickels, Vickie Lynn

Nickels, Vickie Lynn is an sole proprietor health care provider with primary practice located at 224 Schooner Bay Dr , Brookings OR 97415-9061. She recently has only one registered license in Other Service Providers / Midwife, Lay, which is considered as her primary health care specialty. Nickels, Vickie Lynn can be contacted via phone (541) 661-4652.

Contact Information

Primary practice address
224 Schooner Bay Dr Brookings OR 97415-9061
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife, Lay 175M00000X

Profile Details

NPI number 1588391973
LBN Legal business name Nickels, Vickie Lynn
Credentials TRADITIONAL MIDWIFE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2022
Last updated Aug 4th, 2022 - about 3 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 1588391973 NPPES
Oregon Other 2022-0025 OREGON HEALTH AUTHORITY MIDWIFE NUMBER

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