Vazquez-Valicek, Amelia

Vazquez-Valicek, Amelia is an individual health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Vazquez-Valicek, Amelia can be contacted via phone (860) 442-0711.

Contact Information

Primary practice address
365 Montauk Ave New London CT 06320-4700
Phone: (860) 442-0711
Fax: (860) 271-4224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000419 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 000419 Connecticut

Profile Details

NPI number 1417055914
LBN Legal business name Vazquez-Valicek, Amelia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 18th, 2016 - about 8 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 1417055914 NPPES
Other 06-0646704 TRICARE
MEDICAID 4014679 TRICARE
MEDICAID 4024972 TRICARE

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