Vickerman, Robert Peteris

Vickerman, Robert Peteris is an sole proprietor health care provider with primary practice located at 1800 15Th St Suite 210, Greeley CO 80631-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Vickerman, Robert Peteris can be contacted via phone (970) 352-8216.

Contact Information

Primary practice address
1800 15Th St Suite 210 Greeley CO 80631-4500
Phone: (970) 352-8216
Fax: (970) 352-5297
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 34611 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 47459 Colorado

Profile Details

NPI number 1023085511
LBN Legal business name Vickerman, Robert Peteris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2006
Last updated Mar 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023085511 NPPES
Tennessee MEDICAID 3858329

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