Vicerza, Elena

Vicerza, Elena is an individual health care provider with primary practice located at 1502 Mary Kay Blvd , Benton AR 72015. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Student, Health Care / Student in an Organized Health Care Education/Training Program. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Vicerza, Elena can be contacted via phone (501) 303-3105.

Contact Information

Primary practice address
1502 Mary Kay Blvd Benton AR 72015
Phone: (501) 303-3105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Arkansas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1073960555
LBN Legal business name Vicerza, Elena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2016
Last updated Mar 14th, 2017 - about 7 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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