Nickerson, Michael David

Nickerson, Michael David is an individual health care provider with primary practice located at 2817 Reilly St , Fort Bragg NC 28310-7394. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Nickerson, Michael David can be contacted via phone (910) 908-2318.

Contact Information

Primary practice address
2817 Reilly St Fort Bragg NC 28310-7394
Phone: (910) 908-2318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Q4227 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2019-02595 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101246915 Virginia

Profile Details

NPI number 1790927671
LBN Legal business name Nickerson, Michael David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2009
Last updated Jun 7th, 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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