Jetter, Vicki
Jetter, Vicki is an individual health care provider with primary practice located at 860 Atlantic Ave , Baldwin Harbour NY 11510. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jetter, Vicki can be contacted via phone (516) 868-6100.Contact Information
Primary practice address
860 Atlantic Ave
Baldwin Harbour NY 11510
Phone: (516) 868-6100
Fax: (516) 546-8621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 168846 | New York |
Profile Details
| NPI number | 1639198633 |
|---|---|
| LBN Legal business name | Jetter, Vicki |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Sep 5th, 2012 - 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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