Noonan, Vikki Louise

Noonan, Vikki Louise is an sole proprietor health care provider with primary practice located at 133 Brookline Ave 6Th Floor;Harvard Vanguard Medical Assoc.;Dept Of Path., Boston MA 02215-3904. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as her primary health care specialty. Noonan, Vikki Louise can be contacted via phone (617) 421-2844.

Contact Information

Primary practice address
133 Brookline Ave 6Th Floor;Harvard Vanguard Medical Assoc.;Dept Of Path. Boston MA 02215-3904
Phone: (617) 421-2844
Fax: (617) 421-2423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 19519 Massachusetts

Profile Details

NPI number 1619980745
LBN Legal business name Noonan, Vikki Louise
Credentials D.M.D., D.M.SC.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Sep 24th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619980745 NPPES
Massachusetts MEDICAID 0203718
Massachusetts Other AA27554
Massachusetts Other X09107

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