Nicholls, Justin D
Nicholls, Justin D is an sole proprietor health care provider with primary practice located at 1201 Ne Lloyd Blvd Ste 510, Portland OR 97232-1202. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Nicholls, Justin D can be contacted via phone (971) 678-9127.Contact Information
Primary practice address
1201 Ne Lloyd Blvd Ste 510
Portland OR 97232-1202
Phone: (971) 678-9127
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 3984 | Montana |
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH-0010070 | Oregon |
| Pharmacy Service Providers / Pharmacist | 183500000X | PH00052231 | Washington |
Profile Details
| NPI number | 1891790549 |
|---|---|
| LBN Legal business name | Nicholls, Justin D |
| Credentials | PHARMD, BCOP, BCPS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2005 |
| Last updated | Oct 17th, 2014 - about 12 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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