King, Victoria Van Beuren

King, Victoria Van Beuren is an sole proprietor health care provider with primary practice located at 113 Latigo Ln , Canon City CO 81212-8114. She recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as her primary health care specialty. King, Victoria Van Beuren can be contacted via phone (719) 371-0000.

Contact Information

Primary practice address
113 Latigo Ln Canon City CO 81212-8114
Fax: (719) 372-0505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 32334 Colorado

Profile Details

NPI number 1558374926
LBN Legal business name King, Victoria Van Beuren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Jan 16th, 2020 - about 6 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 1558374926 NPPES
Colorado MEDICAID 01323344

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