Roberts, Vicki S

Roberts, Vicki S is an individual health care provider with primary practice located at 3574 Sunset Blvd , West Columbia SC 29169-3044. 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. Roberts, Vicki S can be contacted via phone (803) 796-2500.

Contact Information

Primary practice address
3574 Sunset Blvd West Columbia SC 29169-3044
Phone: (803) 796-2500
Fax: (803) 796-4378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X A609D South Carolina

Profile Details

NPI number 1952379471
LBN Legal business name Roberts, Vicki S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jan 17th, 2012 - 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 1952379471 NPPES
South Carolina MEDICAID PA1426
South Carolina Other 0301242

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