Nickols, Nicholas George

Nickols, Nicholas George is an individual health care provider with primary practice located at 15128 Vose St , Van Nuys CA 91405-2935. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Nickols, Nicholas George can be contacted via phone (818) 421-5077.

Contact Information

Primary practice address
15128 Vose St Van Nuys CA 91405-2935
Phone: (818) 421-5077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1043448277
LBN Legal business name Nickols, Nicholas George
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Jun 25th, 2009 - about 17 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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