Vickery, Jon L

Vickery, Jon L is an sole proprietor health care provider with primary practice located at 417 Village Dr Suite 6, Carlisle PA 17013-6945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Vickery, Jon L can be contacted via phone (717) 245-2226.

Contact Information

Primary practice address
417 Village Dr Suite 6 Carlisle PA 17013-6945
Phone: (717) 245-2226
Fax: (717) 245-0316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD031004E Pennsylvania

Profile Details

NPI number 1245295716
LBN Legal business name Vickery, Jon L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Feb 19th, 2008 - about 18 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 1245295716 NPPES
Pennsylvania MEDICAID 0014792300003

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