Duvall, Nicholas Brandon
Duvall, Nicholas Brandon is an individual health care provider with primary practice located at 2501 Capehart Rd , Offutt Afb NE 68113-1043. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Duvall, Nicholas Brandon can be contacted via phone (402) 294-8015.Contact Information
Primary practice address
2501 Capehart Rd
Offutt Afb NE 68113-1043
Phone: (402) 294-8015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 21953 | Ohio |
| Dental Providers / General Practice | 1223G0001X | 30.021953 | Ohio |
Profile Details
| NPI number | 1245290238 |
|---|---|
| LBN Legal business name | Duvall, Nicholas Brandon |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | May 12th, 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 | 1245290238 | NPPES |
| Ohio | Other | 21953 | STATE LICENSE |
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