Vickers, Gary A
Vickers, Gary A is an individual health care provider with primary practice located at 224 S Woods Mill Rd Ste 435S , Chesterfield MO 63017-3408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Vickers, Gary A can be contacted via phone (314) 576-2394.Contact Information
Primary practice address
224 S Woods Mill Rd Ste 435S
Chesterfield MO 63017-3408
Phone: (314) 576-2394
Fax: (314) 590-5937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 108736 | Missouri |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 108736 | Missouri |
Profile Details
| NPI number | 1902867633 |
|---|---|
| LBN Legal business name | Vickers, Gary A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jan 25th, 2021 - about 4 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 | 1902867633 | NPPES |
| Missouri | MEDICAID | 1902867633 | |
| Missouri | MEDICAID | 1902867633 |
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