Dantzler, Vicky E

Dantzler, Vicky E is an sole proprietor health care provider with primary practice located at 324 Ralph Long Rd , Defuniak Springs FL 32433-0830. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Dantzler, Vicky E can be contacted via phone (850) 533-6018.

Contact Information

Primary practice address
324 Ralph Long Rd Defuniak Springs FL 32433-0830
Phone: (850) 533-6018
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN3378712 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X RN3378712 Florida

Profile Details

NPI number 1710066576
LBN Legal business name Dantzler, Vicky E
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Jun 23rd, 2020 - about 5 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 1710066576 NPPES
Florida MEDICAID 015798500

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