Vicki Lynn Soponski
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Dudley, MA
NPI 1104259134 · NPPES record last updated Aug 13, 2013
Key facts
- NPI
- 1104259134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 13 Michael LN
Dudley, MA 01571-5885 - Phone
- (774) 230-6116
- NPI assigned
- Aug 13, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
13 Michael LN
Dudley, MA 01571-5885
Mailing address
13 Michael LN
Dudley, MA 01571-5885
Phone (774) 230-6116
Other providers in Dudley, MA
- Rosez Incorporated New England Behavioral Services
- Laura Routhier
- Theresa Salonis
- Kim T Seigler
- Sherrie Urena
- Colleen Marie Sullivan
- Deborah K Swan
- Town Dental Partners,LLC
- Town of Dudley
- Town of Dudley Health Department
All providers in Dudley, MA · Student in an Organized Health Care Education/Training Program in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.