Vickerman, Diane

Vickerman, Diane is an sole proprietor health care provider with primary practice located at 891 Mountain Ranch Rd , San Andreas CA 95249-9713. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Vickerman, Diane can be contacted via phone (209) 890-7717.

Contact Information

Primary practice address
891 Mountain Ranch Rd San Andreas CA 95249-9713
Phone: (209) 890-7717
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1033530274
LBN Legal business name Vickerman, Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2013
Last updated Dec 13th, 2013 - about 11 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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