Vanderpool, Vicky A

Vanderpool, Vicky A is an individual health care provider with primary practice located at 2600 Campus Dr Ste A, Lafayette CO 80026-3357. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vanderpool, Vicky A can be contacted via phone (303) 665-1900.

Contact Information

Primary practice address
2600 Campus Dr Ste A Lafayette CO 80026-3357
Fax: (303) 926-1781
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29675 Colorado

Profile Details

NPI number 1275571994
LBN Legal business name Vanderpool, Vicky A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Dec 17th, 2007 - about 17 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 1275571994 NPPES
Colorado MEDICAID 01296755
Colorado Other P00359278

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