Willis, Vickie J
Willis, Vickie J is an individual health care provider with primary practice located at Mile 187.5 Glenn Hwy , Glennallen AK 99588-0048. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Willis, Vickie J can be contacted via phone (907) 822-3353.Contact Information
Primary practice address
Mile 187.5 Glenn Hwy
Glennallen AK 99588-0048
Phone: (907) 822-3353
Fax: (800) 316-8024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 162 | Alaska |
Profile Details
| NPI number | 1417092735 |
|---|---|
| LBN Legal business name | Willis, Vickie J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Apr 12th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417092735 | NPPES |
| Alaska | MEDICAID | CH0029 |
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