Bedford, Nichole Elizabeth

Bedford, Nichole Elizabeth is an individual health care provider with primary practice located at 300 West Ave , Brockport NY 14420-1118. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bedford, Nichole Elizabeth can be contacted via phone (585) 637-3905.

Contact Information

Primary practice address
300 West Ave Brockport NY 14420-1118
Phone: (585) 637-3905
Fax: (585) 637-4990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 024736 New York

Profile Details

NPI number 1619170412
LBN Legal business name Bedford, Nichole Elizabeth
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Jul 8th, 2007 - about 19 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 1619170412 NPPES
New York MEDICAID 00355308

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