Foster, Mica Vonne

Foster, Mica Vonne is an sole proprietor health care provider with primary practice located at 508 Washington St , The Dalles OR 97058-2232. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Foster, Mica Vonne can be contacted via phone (541) 993-7003.

Contact Information

Primary practice address
508 Washington St The Dalles OR 97058-2232
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3612 Oregon

Profile Details

NPI number 1306981220
LBN Legal business name Foster, Mica Vonne
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Jul 8th, 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 1306981220 NPPES
Oregon Other 3612 OREGON LICENSE NUMBER

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