Vickers, Bonnie

Vickers, Bonnie is an individual health care provider with primary practice located at 200 Elizabeth St , Charleston WV 25311-2119. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Vickers, Bonnie can be contacted via phone (304) 348-7740.

Contact Information

Primary practice address
200 Elizabeth St Charleston WV 25311-2119
Phone: (304) 348-7740
Fax: (304) 348-6671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 3483 West Virginia

Profile Details

NPI number 1386822948
LBN Legal business name Vickers, Bonnie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2008
Last updated Feb 6th, 2008 - 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 1386822948 NPPES
West Virginia MEDICAID 0166012000

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