Antle-Vlach, Victoria J

Antle-Vlach, Victoria J is an individual health care provider with primary practice located at 1000 W 4Th St Suite 13, Yankton SD 57078-3730. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Antle-Vlach, Victoria J can be contacted via phone (605) 668-8795.

Contact Information

Primary practice address
1000 W 4Th St Suite 13 Yankton SD 57078-3730
Phone: (605) 668-8795
Fax: (605) 668-9705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 8743 South Dakota

Profile Details

NPI number 1780615872
LBN Legal business name Antle-Vlach, Victoria J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Feb 18th, 2016 - about 10 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 1780615872 NPPES
Kansas MEDICAID 100363610B
Kansas MEDICAID 202996088
Kansas Other 8743

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