Vickery, Chad
Vickery, Chad is an individual health care provider with primary practice located at 480 Medical Center Dr , Columbus OH 43210-1229. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Vickery, Chad can be contacted via phone (614) 293-3830.Contact Information
Primary practice address
480 Medical Center Dr
Columbus OH 43210-1229
Phone: (614) 293-3830
Fax: (614) 293-4870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 6807 | Ohio |
Profile Details
| NPI number | 1265581987 |
|---|---|
| LBN Legal business name | Vickery, Chad |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Aug 12th, 2011 - about 13 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 | 1265581987 | NPPES |
| Mississippi | MEDICAID | 05800054 |
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