Cherry, Nicola J

Cherry, Nicola J is an sole proprietor health care provider with primary practice located at 2580 Daggett Ave , Klamath Falls OR 97601-1127. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cherry, Nicola J can be contacted via phone (541) 884-1224.

Contact Information

Primary practice address
2580 Daggett Ave Klamath Falls OR 97601-1127
Fax: (541) 884-8030
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD21778 Oregon

Profile Details

NPI number 1508812207
LBN Legal business name Cherry, Nicola J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Mar 22nd, 2013 - about 13 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 1508812207 NPPES
Oregon MEDICAID 288475

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