Vickerman, Grant Michael
Vickerman, Grant Michael is an individual health care provider with primary practice located at 22037 181St St Nw , Big Lake MN 55309-8243. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Vickerman, Grant Michael can be contacted via phone (763) 567-0415.Contact Information
Primary practice address
22037 181St St Nw
Big Lake MN 55309-8243
Phone: (763) 567-0415
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1457821795 |
|---|---|
| LBN Legal business name | Vickerman, Grant Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2018 |
| Last updated | Nov 29th, 2018 - 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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