Vine, Heidi L

Vine, Heidi L is an individual health care provider with primary practice located at 1701 White St , Mccomb MS 39648-2711. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Vine, Heidi L can be contacted via phone (601) 684-2173.

Contact Information

Primary practice address
1701 White St Mccomb MS 39648-2711
Phone: (601) 684-2173
Fax: (601) 249-4234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 2601 Mississippi

Profile Details

NPI number 1932470515
LBN Legal business name Vine, Heidi L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2012
Last updated Jan 13th, 2012 - 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.

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