Powell, Vincent Lamarr

Powell, Vincent Lamarr is an sole proprietor health care provider with primary practice located at 2275 F St Ste 1&2 , Livingston CA 95334-1778. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Powell, Vincent Lamarr can be contacted via phone (209) 394-8854.

Contact Information

Primary practice address
2275 F St Ste 1&2 Livingston CA 95334-1778
Fax: (209) 394-8895
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X RN281973 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95003522 California

Profile Details

NPI number 1063633758
LBN Legal business name Powell, Vincent Lamarr
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Mar 28th, 2016 - about 8 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 1063633758 NPPES
California Other 95003492 FNP

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