Nicklas, Richard
Nicklas, Richard is an individual health care provider with primary practice located at 111 Grossman Dr , Braintree MA 02184-4997. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Nicklas, Richard can be contacted via phone (617) 654-7111.Contact Information
Primary practice address
111 Grossman Dr
Braintree MA 02184-4997
Phone: (617) 654-7111
Fax: (781) 849-2452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1285799726 |
|---|---|
| LBN Legal business name | Nicklas, Richard |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Oct 29th, 2020 - about 6 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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