Wells, Vicky Marie
Wells, Vicky Marie is an sole proprietor health care provider with primary practice located at 421 S Bonner Ave , Tyler TX 75702-8034. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Wells, Vicky Marie can be contacted via phone (903) 526-2600.Contact Information
Primary practice address
421 S Bonner Ave
Tyler TX 75702-8034
Phone: (903) 526-2600
Fax: (903) 526-2605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 99030 | Texas |
Profile Details
| NPI number | 1255513792 |
|---|---|
| LBN Legal business name | Wells, Vicky Marie |
| Credentials | MIDWIFE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2007 |
| Last updated | Jun 14th, 2016 - about 10 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 | 1255513792 | NPPES |
| Texas | MEDICAID | 3361719 |
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