Nidzgorski, Vicki A
Nidzgorski, Vicki A is an individual health care provider with primary practice located at 1105 E Kennedy Blvd , Tampa FL 33602-3511. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Nidzgorski, Vicki A can be contacted via phone (813) 330-7801.Contact Information
Primary practice address
1105 E Kennedy Blvd
Tampa FL 33602-3511
Phone: (813) 330-7801
Fax: (813) 276-2999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH19889 | Florida |
Profile Details
| NPI number | 1760706345 |
|---|---|
| LBN Legal business name | Nidzgorski, Vicki A |
| Credentials | DENTAL HYGIENIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2010 |
| Last updated | Mar 25th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760706345 | NPPES |
| Florida | Other | DH19889 | LICENSE |
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