| Vibrant Health Company | |
|
917 Wilson St Marquette MI 49855-4413 | |
| (906) 458-9501 | |
| Not Available |
| Full Name | Vibrant Health Company |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 917 Wilson St, Marquette, Michigan |
| Authorized Official Name and Position | Traci E Ball (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9064589501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrant Health Company 917 Wilson St Marquette MI 49855-4413 Ph: (906) 458-9501 | Vibrant Health Company 917 Wilson St Marquette MI 49855-4413 Ph: (906) 458-9501 |
| NPI Number | 1255706925 |
|---|---|
| Provider Enumeration Date | 12/07/2015 |
| Last Update Date | 12/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255706925 | NPI | - | NPPES |
| 6801080284 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801080284 (Michigan) | Primary |
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