Vigil, Mary Powell

Vigil, Mary Powell is an sole proprietor health care provider with primary practice located at 494 Highway 92 , Delta CO 81416-3441. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Vigil, Mary Powell can be contacted via phone (970) 874-3801.

Contact Information

Primary practice address
494 Highway 92 Delta CO 81416-3441
Fax: (970) 874-3807
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 904294 Colorado

Profile Details

NPI number 1376618025
LBN Legal business name Vigil, Mary Powell
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1376618025 NPPES
Colorado MEDICAID 49732048

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