Headen, Vivian Marie

Headen, Vivian Marie is an sole proprietor health care provider with primary practice located at 209 S 2Nd Ave , Siler City NC 27344-3429. She recently has only one registered license in Agencies / Nursing Care, which is considered as her primary health care specialty. Headen, Vivian Marie can be contacted via phone (919) 663-1366.

Contact Information

Primary practice address
209 S 2Nd Ave Siler City NC 27344-3429
Fax: (919) 663-1369
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X 3408022 North Carolina

Profile Details

NPI number 1790828770
LBN Legal business name Headen, Vivian Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 9th, 2007 - about 14 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 1790828770 NPPES
North Carolina MEDICAID 3408022

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