Sidwa, Vickie Suzanne

Sidwa, Vickie Suzanne is an individual health care provider with primary practice located at 1043 Montauk Dr , Forked River NJ 08731-2004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Sidwa, Vickie Suzanne can be contacted via phone (609) 339-5667.

Contact Information

Primary practice address
1043 Montauk Dr Forked River NJ 08731-2004
Phone: (609) 339-5667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NN10119300 New Jersey

Profile Details

NPI number 1912088972
LBN Legal business name Sidwa, Vickie Suzanne
Credentials APN, C.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jun 16th, 2014 - about 12 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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