Vickers, Lisa A
Vickers, Lisa A is an sole proprietor health care provider with primary practice located at 1450 N 16Th Ave Ste 102 , Yakima WA 98902-1381. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Vickers, Lisa A can be contacted via phone (509) 249-0105.Contact Information
Primary practice address
1450 N 16Th Ave Ste 102
Yakima WA 98902-1381
Phone: (509) 249-0105
Fax: (509) 249-0035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP30007200 | Washington |
Profile Details
| NPI number | 1851474704 |
|---|---|
| LBN Legal business name | Vickers, Lisa A |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jul 28th, 2014 - about 10 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 | 1851474704 | NPPES |
| Washington | MEDICAID | 9647793 |
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