Fredericka, Nicholas Anthony

Fredericka, Nicholas Anthony is an individual health care provider with primary practice located at 120 Bovard St , Yerington NV 89447-2437. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fredericka, Nicholas Anthony can be contacted via phone (775) 463-1800.

Contact Information

Primary practice address
120 Bovard St Yerington NV 89447-2437
Phone: (775) 463-1800
Fax: (775) 463-4810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30016140 Ohio

Profile Details

NPI number 1790904589
LBN Legal business name Fredericka, Nicholas Anthony
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 25th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790904589 NPPES
Ohio MEDICAID 0493729
Ohio MEDICAID 341352009027
Ohio Other 196764
Ohio Other 341352009

Popular Providers