Vickers, Ryan Tait

Vickers, Ryan Tait is an individual health care provider with primary practice located at 2975 Sycamore Dr , Simi Valley CA 93065-1201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Vickers, Ryan Tait can be contacted via phone (805) 955-6000.

Contact Information

Primary practice address
2975 Sycamore Dr Simi Valley CA 93065-1201
Phone: (805) 955-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 52475 California

Profile Details

NPI number 1700264777
LBN Legal business name Vickers, Ryan Tait
Credentials PA-C, MMS
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2015
Last updated May 11th, 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.

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