Carnathan, Nikolas Doyle

Carnathan, Nikolas Doyle is an individual health care provider with primary practice located at 499 Gloster Creek Vlg Suite I-3, Tupelo MS 38801-4600. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Carnathan, Nikolas Doyle can be contacted via phone (662) 844-4471.

Contact Information

Primary practice address
499 Gloster Creek Vlg Suite I-3 Tupelo MS 38801-4600
Phone: (662) 844-4471
Fax: (662) 844-4472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT1521 Mississippi

Profile Details

NPI number 1437140415
LBN Legal business name Carnathan, Nikolas Doyle
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jul 9th, 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 1437140415 NPPES
Mississippi MEDICAID 03784371

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