Mottola, Nicolas Sebastian

Mottola, Nicolas Sebastian is an individual health care provider with primary practice located at 99 Montecillo Rd , San Rafael CA 94903-3308. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mottola, Nicolas Sebastian can be contacted via phone (415) 444-2000.

Contact Information

Primary practice address
99 Montecillo Rd San Rafael CA 94903-3308
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT211781 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A157961 California

Profile Details

NPI number 1376993279
LBN Legal business name Mottola, Nicolas Sebastian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2016
Last updated Dec 17th, 2021 - about 5 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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