Juan, Nicholas Andrew

Juan, Nicholas Andrew is an individual health care provider with primary practice located at 7401 W Hood Pl Ste 200 , Kennewick WA 99336-3400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Juan, Nicholas Andrew can be contacted via phone (509) 591-0070.

Contact Information

Primary practice address
7401 W Hood Pl Ste 200 Kennewick WA 99336-3400
Phone: (509) 591-0070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Q8523 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD60751696 Washington

Profile Details

NPI number 1013270875
LBN Legal business name Juan, Nicholas Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2012
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013270875 NPPES
Washington MEDICAID 2079915

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