Statum, Vetres Oreather

Statum, Vetres Oreather is an individual health care provider with primary practice located at 650 Joel Dr Young Eagle Clinic, Fort Campbell KY 42223-5318. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Statum, Vetres Oreather can be contacted via phone (270) 798-8258.

Contact Information

Primary practice address
650 Joel Dr Young Eagle Clinic Fort Campbell KY 42223-5318
Phone: (270) 798-8258
Fax: (270) 956-0444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 0000068878 Tennessee

Profile Details

NPI number 1902043300
LBN Legal business name Statum, Vetres Oreather
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2009
Last updated Jan 7th, 2009 - about 17 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 1902043300 NPPES
Tennessee Other 0000068878 NURSING LICENSE

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