Ikeda, Nicole Marie
Ikeda, Nicole Marie is an sole proprietor health care provider with primary practice located at 1 Lyons St Dept. Of Dermatology, Dedham MA 02026. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ikeda, Nicole Marie can be contacted via phone (781) 329-1400.Contact Information
Primary practice address
1 Lyons St Dept. Of Dermatology
Dedham MA 02026
Phone: (781) 329-1400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA5670 | Massachusetts |
Profile Details
| NPI number | 1952858441 |
|---|---|
| LBN Legal business name | Ikeda, Nicole Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2016 |
| Last updated | Dec 5th, 2019 - about 7 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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