Nicholas, Paul E

Nicholas, Paul E is an individual health care provider with primary practice located at 405 W College Ave Ste F , Santa Rosa CA 95401-6506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Nicholas, Paul E can be contacted via phone (707) 547-5450.

Contact Information

Primary practice address
405 W College Ave Ste F Santa Rosa CA 95401-6506
Phone: (707) 547-5450
Fax: (707) 573-3555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 47520 Wisconsin
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A98793 California

Profile Details

NPI number 1699861344
LBN Legal business name Nicholas, Paul E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Feb 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699861344 NPPES
Wisconsin MEDICAID 34606500

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