Serum, Vicki J
Serum, Vicki J is an sole proprietor health care provider with primary practice located at 13073 Evergreen Dr , Baxter MN 56425-7443. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Serum, Vicki J can be contacted via phone (218) 851-3813.Contact Information
Primary practice address
13073 Evergreen Dr
Baxter MN 56425-7443
Phone: (218) 851-3813
Fax: (218) 824-9507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6699LICSW | Minnesota |
Profile Details
| NPI number | 1831149145 |
|---|---|
| LBN Legal business name | Serum, Vicki J |
| Credentials | MA, LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Oct 30th, 2007 - about 18 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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