Vickers, Edward Dee

Vickers, Edward Dee is an sole proprietor health care provider with primary practice located at 905 W Ventura Ave , Clewiston FL 33440-3411. He recently has only one registered license in Chiropractic Providers / Radiology, which is considered as his primary health care specialty. Vickers, Edward Dee can be contacted via phone (863) 983-8391.

Contact Information

Primary practice address
905 W Ventura Ave Clewiston FL 33440-3411
Phone: (863) 983-8391
Fax: (863) 983-2283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Radiology 111NR0200X CH0001488 Florida

Profile Details

NPI number 1568486777
LBN Legal business name Vickers, Edward Dee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Aug 3rd, 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 1568486777 NPPES
Florida Other 89525 BLUE CROSS/ BLUE SHIELD
Florida MEDICAID 380116100 BLUE CROSS/ BLUE SHIELD

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