Vickers, Robert

Vickers, Robert is an individual health care provider with primary practice located at 1400 Emeline Ave , Santa Cruz CA 95060-1976. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Vickers, Robert can be contacted via phone (831) 454-4971.

Contact Information

Primary practice address
1400 Emeline Ave Santa Cruz CA 95060-1976
Phone: (831) 454-4971
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1457618910
LBN Legal business name Vickers, Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2012
Last updated Jun 2nd, 2023 - about 2 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 1457618910 NPPES
California Other ZZZ91891Z COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
California Other ZZZ91892Z COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
California Other ZZZ92069Z COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#

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