Brathwaite-Dingle, Nichole Renee

Brathwaite-Dingle, Nichole Renee is an individual health care provider with primary practice located at 11932 Appaloosa Way , North Potomac MD 20878-3876. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brathwaite-Dingle, Nichole Renee can be contacted via phone (301) 762-4252.

Contact Information

Primary practice address
11932 Appaloosa Way North Potomac MD 20878-3876
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 221417 New York

Profile Details

NPI number 1235384942
LBN Legal business name Brathwaite-Dingle, Nichole Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2008
Last updated Nov 21st, 2008 - about 18 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 1235384942 NPPES
New York MEDICAID 02230000

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