Vickers, Edward Dee
Vickers, Edward Dee is an sole proprietor health care provider with primary practice located at 905 W Ventura Ave , Clewiston FL 33440-3411. He recently has only one registered license in Chiropractic Providers / Radiology, which is considered as his primary health care specialty. Vickers, Edward Dee can be contacted via phone (863) 983-8391.Contact Information
Primary practice address
905 W Ventura Ave
Clewiston FL 33440-3411
Phone: (863) 983-8391
Fax: (863) 983-2283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Radiology | 111NR0200X | CH0001488 | Florida |
Profile Details
| NPI number | 1568486777 |
|---|---|
| LBN Legal business name | Vickers, Edward Dee |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Aug 3rd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568486777 | NPPES |
| Florida | Other | 89525 | BLUE CROSS/ BLUE SHIELD |
| Florida | MEDICAID | 380116100 | BLUE CROSS/ BLUE SHIELD |
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