Vipond, Pamela S.

Vipond, Pamela S. is an individual health care provider with primary practice located at 400 John Deere Rd Bldg 1 , Moline IL 61265-6898. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Vipond, Pamela S. can be contacted via phone (309) 517-3036.

Contact Information

Primary practice address
400 John Deere Rd Bldg 1 Moline IL 61265-6898
Phone: (309) 517-3036
Fax: (309) 797-1088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 041218923 Illinois

Profile Details

NPI number 1285739151
LBN Legal business name Vipond, Pamela S.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jun 23rd, 2016 - about 9 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 1285739151 NPPES
Iowa MEDICAID 0747303
Iowa MEDICAID 041218923

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