Wells, Vicky Marie

Wells, Vicky Marie is an sole proprietor health care provider with primary practice located at 421 S Bonner Ave , Tyler TX 75702-8034. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Wells, Vicky Marie can be contacted via phone (903) 526-2600.

Contact Information

Primary practice address
421 S Bonner Ave Tyler TX 75702-8034
Fax: (903) 526-2605
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 99030 Texas

Profile Details

NPI number 1255513792
LBN Legal business name Wells, Vicky Marie
Credentials MIDWIFE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2007
Last updated Jun 14th, 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 1255513792 NPPES
Texas MEDICAID 3361719

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