Vines, Freddie Dean

Vines, Freddie Dean is an individual health care provider with primary practice located at 703 Thimble Shoals Blvd A-3, Newport News VA 23606-2576. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Vines, Freddie Dean can be contacted via phone (757) 873-2307.

Contact Information

Primary practice address
703 Thimble Shoals Blvd A-3 Newport News VA 23606-2576
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904002078 Virginia

Profile Details

NPI number 1366411290
LBN Legal business name Vines, Freddie Dean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 17th, 2008 - about 16 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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