Stovall, Vicki Mizue
Stovall, Vicki Mizue is an individual health care provider with primary practice located at 404 Westwood Ave Suite 105, High Point NC 27262-4315. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Stovall, Vicki Mizue can be contacted via phone (919) 882-6500.Contact Information
Primary practice address
404 Westwood Ave Suite 105
High Point NC 27262-4315
Phone: (919) 882-6500
Fax: (919) 882-6501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 38854 | North Carolina |
Profile Details
| NPI number | 1295774081 |
|---|---|
| LBN Legal business name | Stovall, Vicki Mizue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jul 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295774081 | NPPES |
| North Carolina | Other | 80204 | BLUE CROSS/BLUE SHIELD |
| North Carolina | MEDICAID | 8980204 | BLUE CROSS/BLUE SHIELD |
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