Vick, Jack D
Vick, Jack D is an sole proprietor health care provider with primary practice located at 546 N. 10Th Street , Fort Sumner NM 88119-0349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vick, Jack D can be contacted via phone (575) 355-2414.Contact Information
Primary practice address
546 N. 10Th Street
Fort Sumner NM 88119-0349
Phone: (575) 355-2414
Fax: (575) 355-7894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 92371 | New Mexico |
Profile Details
| NPI number | 1538242219 |
|---|---|
| LBN Legal business name | Vick, Jack D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | May 19th, 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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