Vickers, Linda
Vickers, Linda is an sole proprietor health care provider with primary practice located at 1129 Red Tail Way , Simi Valley CA 93065-7232. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Vickers, Linda can be contacted via phone (805) 558-8343.Contact Information
Primary practice address
1129 Red Tail Way
Simi Valley CA 93065-7232
Phone: (805) 558-8343
Fax: (805) 334-6377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 579172 | California |
Profile Details
| NPI number | 1144250614 |
|---|---|
| LBN Legal business name | Vickers, Linda |
| Credentials | MS, RD, CDE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Sep 30th, 2015 - about 9 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 | 1144250614 | NPPES |
| California | Other | MNT579172 | MEDICAL NUTRITION THERAPY |
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