Nicholson, Katherine
Nicholson, Katherine is an sole proprietor health care provider with primary practice located at 3 Wisteria Court , Spartanburg SC 29307-3513. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Nicholson, Katherine can be contacted via phone (864) 706-5398.Contact Information
Primary practice address
3 Wisteria Court
Spartanburg SC 29307-3513
Phone: (864) 706-5398
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3390 | South Carolina |
Profile Details
| NPI number | 1073663142 |
|---|---|
| LBN Legal business name | Nicholson, Katherine |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Dec 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073663142 | NPPES |
| South Carolina | MEDICAID | Z33900 |
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