Chad Randal Vickers in Saint Paul - Family
Chad Randal Vickers - NPI 1780753681
Chad Randal Vickers is a Family in Saint Paul, Minnesota. Chad Randal Vickers practices all healthcare services and medical treatments related to Family. The NPI Number for Chad Randal Vickers is 1780753681. The last update date is 2020-04-22.
Chad Randal Vickers's current location address is 135 Colorado Street East, Saint Paul, Minnesota. You can contact this provider via phone number 6514897740 and fax number 6514896458. The mailing address for Chad Randal Vickers is 135 Colorado Street East, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad Randal Vickers |
|---|---|
| Address | 135 Colorado Street East, Saint Paul, Minnesota |
| Phone Number | 6514897740 |
| Fax Number | 6514896458 |
| Sole Proprietor | N |
| Credentials | PMHNP |
NPI Number Detail
| NPI Number | 1780753681 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2020-04-22 |
Provider Mailing Address Detail
| Address | 135 Colorado Street East |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 55107 |
| Phone Number | 6514897740 |
| Fax Number | 6514896458 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 706002 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200101760A | OK | -- | |
| P01078815 | TX | RAILROAD MEDICARE | |
| 1780753681 | MN | -- | |
| 182997003 | TX | -- | |
| 868N62 | TX | BCBS | |
| 182997001 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Chad Randal Vickers?
The Chad Randal Vickers has been issued the NPI (National Provider Identifier) 1780753681 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Chad Randal Vickers?
The Chad Randal Vickers is physically situated at 135 Colorado Street East, in the city of Saint Paul, state of MN, with the postal code 55107.
What is Chad Randal Vickers's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Chad Randal Vickers is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780753681 to Chad Randal Vickers?
The Chad Randal Vickers received its 1780753681 assignment from the Centers for Medicare & Medicaid Services on 2006-11-06.
When was the information regarding Chad Randal Vickers, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Chad Randal Vickers, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-04-22.
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