Nickens, John William
Nickens, John William is an sole proprietor health care provider with primary practice located at 480 Central Ave , Pearl Harbor HI 96860-4908. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Nickens, John William can be contacted via phone (808) 366-2482.Contact Information
Primary practice address
480 Central Ave
Pearl Harbor HI 96860-4908
Phone: (808) 366-2482
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1356998926 |
|---|---|
| LBN Legal business name | Nickens, John William |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2019 |
| Last updated | Jul 21st, 2022 - about 4 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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