West, Vickie L.

West, Vickie L. is an sole proprietor health care provider with primary practice located at 179 N Church Ave Ste 201 , Fayetteville AR 72701-5267. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. West, Vickie L. can be contacted via phone (479) 521-4909.

Contact Information

Primary practice address
179 N Church Ave Ste 201 Fayetteville AR 72701-5267
Phone: (479) 521-4909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 86-20P Arkansas

Profile Details

NPI number 1174676142
LBN Legal business name West, Vickie L.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2007
Last updated May 15th, 2019 - about 7 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 1174676142 NPPES
Arkansas Other 59194 BCBS PROVIDER NUMBER
Arkansas Other 50286000000 BCBS PROVIDER NUMBER
Arkansas Other 029116 BCBS PROVIDER NUMBER

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