Pence, Vickie Renee

Pence, Vickie Renee is an individual health care provider with primary practice located at 1101 Hospital Dr , Columbia MO 65212-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pence, Vickie Renee can be contacted via phone (573) 882-1662.

Contact Information

Primary practice address
1101 Hospital Dr Columbia MO 65212-0001
Phone: (573) 882-1662
Fax: (573) 884-7318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA965 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2010037370 Missouri

Profile Details

NPI number 1336199363
LBN Legal business name Pence, Vickie Renee
Credentials MS,PA
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Aug 9th, 2013 - about 12 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 1336199363 NPPES
Nevada MEDICAID 100509027

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