Andrews Vallance, Mildred Elizabeth

Andrews Vallance, Mildred Elizabeth is an individual health care provider with primary practice located at 558 N. Ventu Park Rd., Ste D , Thousand Oaks CA 91320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Andrews Vallance, Mildred Elizabeth can be contacted via phone (805) 499-5525.

Contact Information

Primary practice address
558 N. Ventu Park Rd., Ste D Thousand Oaks CA 91320
Phone: (805) 499-5525
Fax: (805) 499-5554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101233059 Virginia

Profile Details

NPI number 1750386033
LBN Legal business name Andrews Vallance, Mildred Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Feb 20th, 2017 - 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 1750386033 NPPES
Virginia MEDICAID 006736904

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