Nickle, Matthew

Nickle, Matthew is an individual health care provider with primary practice located at 812 Robin Hood Ct , Springdale AR 72764-6822. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information, which is considered as his primary health care specialty. Nickle, Matthew can be contacted via phone (479) 871-7337.

Contact Information

Primary practice address
812 Robin Hood Ct Springdale AR 72764-6822
Phone: (479) 871-7337
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information 246Y00000X RPT2439 Arkansas

Profile Details

NPI number 1306891965
LBN Legal business name Nickle, Matthew
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306891965 NPPES
Arkansas Other SW291 BLUE CROSS/BLUE SHIELD

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