Dr Mark Vickers, Psc

LBN: Dr Mark Vickers, Psc
Dr Mark Vickers, Psc is an health care organization with primary practice located at 2805 Lincoln Ave , Evansville IN 47714-1724. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Dr Mark Vickers, Psc can be contacted via phone (812) 476-6907, or through Vickers, Willam M via phone (812) 476-6907.

Contact Information

Primary practice address
2805 Lincoln Ave Evansville IN 47714-1724
Phone: (812) 476-6907
Fax: (812) 476-6992
Website:
Map and Directions
Authorized official contact:
Name: Vickers, Willam M Doctor of Medicine (MD)
Phone: (812) 476-6907

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01043252A Indiana

Profile Details

NPI number 1255585048
LBN Legal business name Dr Mark Vickers, Psc
DBA Doing business as
Authorized official Vickers, Willam M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2008
Last updated Apr 16th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255585048 NPPES
Indiana MEDICAID 200002730C

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