Roy, Vicky J

Roy, Vicky J is an individual health care provider with primary practice located at 500 Se Washington Ave , Chehalis WA 98532-3058. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Roy, Vicky J can be contacted via phone (360) 748-4776.

Contact Information

Primary practice address
500 Se Washington Ave Chehalis WA 98532-3058
Phone: (360) 748-4776
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP00047731 Washington

Profile Details

NPI number 1366062705
LBN Legal business name Roy, Vicky J
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2020
Last updated Apr 24th, 2020 - about 4 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 1366062705 NPPES
Washington MEDICAID 2077844

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