Vivas, Christopher

Vivas, Christopher is an sole proprietor health care provider with primary practice located at 1600 36Th St , Vero Beach FL 32960-4875. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Hospitals / Special Hospital. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Vivas, Christopher can be contacted via phone (772) 217-4422.

Contact Information

Primary practice address
1600 36Th St Vero Beach FL 32960-4875
Phone: (772) 217-4422
Fax: (772) 217-4460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2018039387 Missouri
Hospitals / Special Hospital 284300000X 29,093-R Puerto Rico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME146272 Florida

Profile Details

NPI number 1972850154
LBN Legal business name Vivas, Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2012
Last updated Apr 7th, 2022 - about 3 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 1972850154 NPPES
Florida MEDICAID 107520800

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