Blue, Vickki

Blue, Vickki is an sole proprietor health care provider with primary practice located at 346 Jerusalem Ave , Hempstead NY 11550-5242. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Blue, Vickki can be contacted via phone (516) 833-6309.

Contact Information

Primary practice address
346 Jerusalem Ave Hempstead NY 11550-5242
Phone: (516) 833-6309
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 241939-1 New York

Profile Details

NPI number 1043499759
LBN Legal business name Blue, Vickki
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2007
Last updated Oct 30th, 2007 - about 19 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 1043499759 NPPES
New York MEDICAID 01732998

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