Daniel, Vicki

Daniel, Vicki is an sole proprietor health care provider with primary practice located at 1421 W Marlboro St , Wichita KS 67217-2435. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Daniel, Vicki can be contacted via phone (316) 312-4111.

Contact Information

Primary practice address
1421 W Marlboro St Wichita KS 67217-2435
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X Kansas

Profile Details

NPI number 1205267945
LBN Legal business name Daniel, Vicki
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2013
Last updated Dec 5th, 2013 - about 12 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 1205267945 NPPES
Kansas MEDICAID 200558490A

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