Wooll, Vicki L
Wooll, Vicki L is an individual health care provider with primary practice located at 1281 E. Iron Eagle Dr. , Eagle ID 83616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wooll, Vicki L can be contacted via phone (208) 939-5535.Contact Information
Primary practice address
1281 E. Iron Eagle Dr.
Eagle ID 83616
Phone: (208) 939-5535
Fax: (208) 939-5536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M8030 | Idaho |
Profile Details
| NPI number | 1922053172 |
|---|---|
| LBN Legal business name | Wooll, Vicki L |
| Credentials | MD MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Mar 4th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922053172 | NPPES |
| Idaho | MEDICAID | 80594300 |
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