Dzata, Vivian Enyo

Dzata, Vivian Enyo is an individual health care provider with primary practice located at 2073 Olympic St , Springfield OR 97477-3413. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Dzata, Vivian Enyo can be contacted via phone (541) 682-3550.

Contact Information

Primary practice address
2073 Olympic St Springfield OR 97477-3413
Phone: (541) 682-3550
Fax: (541) 682-3551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 201602785NP-PP Oregon

Profile Details

NPI number 1023245024
LBN Legal business name Dzata, Vivian Enyo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2009
Last updated Jul 25th, 2016 - about 9 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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