Bahmann, Vicky Jane

Bahmann, Vicky Jane is an individual health care provider with primary practice located at 36915 Patton Rd , Dade City FL 33523-1209. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Bahmann, Vicky Jane can be contacted via phone (352) 457-6640.

Contact Information

Primary practice address
36915 Patton Rd Dade City FL 33523-1209
Phone: (352) 457-6640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 19646 Massachusetts
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X FLPT15121 Florida
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X CAPT38645 California

Profile Details

NPI number 1851679088
LBN Legal business name Bahmann, Vicky Jane
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2011
Last updated Aug 1st, 2012 - about 14 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 1851679088 NPPES
Florida MEDICAID 889589900

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