Conselman, Nicole S
Conselman, Nicole S is an individual health care provider with primary practice located at 1975 Alpha Dr Suite 204, Rockwall TX 75087-4951. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Conselman, Nicole S can be contacted via phone (469) 800-2100.Contact Information
Primary practice address
1975 Alpha Dr Suite 204
Rockwall TX 75087-4951
Phone: (469) 800-2100
Fax: (469) 800-3310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L2196 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L2196 | Texas |
Profile Details
| NPI number | 1265450118 |
|---|---|
| LBN Legal business name | Conselman, Nicole S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Nov 14th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265450118 | NPPES |
| Texas | MEDICAID | 163006301 |
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