Vine, Debra L

Vine, Debra L is an sole proprietor health care provider with primary practice located at 12720 Kansas Ave Bldg 789, Fort Leonard Wood MO 65473. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Vine, Debra L can be contacted via phone (573) 596-1470.

Contact Information

Primary practice address
12720 Kansas Ave Bldg 789 Fort Leonard Wood MO 65473
Fax: (573) 596-1482
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1851847131
LBN Legal business name Vine, Debra L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2016
Last updated Aug 28th, 2016 - about 8 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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