Myslicki, Nicholas Adam
Myslicki, Nicholas Adam is an sole proprietor health care provider with primary practice located at 290 Main St Nw Ste 110 , Elk River MN 55330-1272. 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 / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Myslicki, Nicholas Adam can be contacted via phone (763) 241-5890.Contact Information
Primary practice address
290 Main St Nw Ste 110
Elk River MN 55330-1272
Phone: (763) 241-5890
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Minnesota | |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 067975 | Minnesota |
Profile Details
| NPI number | 1386132389 |
|---|---|
| LBN Legal business name | Myslicki, Nicholas Adam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2018 |
| Last updated | Oct 21st, 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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