Seal, Vivian Holder

Seal, Vivian Holder is an individual health care provider with primary practice located at 905 Rockford St , Mount Airy NC 27030-5323. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Seal, Vivian Holder can be contacted via phone (336) 648-8200.

Contact Information

Primary practice address
905 Rockford St Mount Airy NC 27030-5323
Phone: (336) 648-8200
Fax: (336) 719-0013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200456 North Carolina

Profile Details

NPI number 1497825657
LBN Legal business name Seal, Vivian Holder
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jun 8th, 2015 - about 9 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 1497825657 NPPES
North Carolina MEDICAID 343936A
North Carolina Other 99404
North Carolina MEDICAID 343936C
North Carolina Other 02774

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