Vickers, Angela J.
Vickers, Angela J. is an individual health care provider with primary practice located at 1625 Stockton Blvd , Sacramento CA 95816. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Vickers, Angela J. can be contacted via phone (916) 262-9108.Contact Information
Primary practice address
1625 Stockton Blvd
Sacramento CA 95816
Phone: (916) 262-9108
Fax: (916) 262-9109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 33100036 | California |
| Other Service Providers / Specialist | 174400000X | G65356 | California |
Profile Details
| NPI number | 1427148931 |
|---|---|
| LBN Legal business name | Vickers, Angela J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | May 22nd, 2015 - about 11 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 | 1427148931 | NPPES |
| California | MEDICAID | 00G653560 |
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