Nickse, Stephen S

Nickse, Stephen S is an individual health care provider with primary practice located at 10863 Park Blvd Suite 2, Seminole FL 33772-5423. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Nickse, Stephen S can be contacted via phone (727) 399-2229.

Contact Information

Primary practice address
10863 Park Blvd Suite 2 Seminole FL 33772-5423
Phone: (727) 399-2229
Fax: (727) 399-2228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH #0007165 Florida
Chiropractic Providers / Chiropractor 111N00000X CH0007165 Florida

Profile Details

NPI number 1881687374
LBN Legal business name Nickse, Stephen S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Nov 1st, 2010 - about 16 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 1881687374 NPPES
Florida Other 55540 BCBS ID#
Florida Other HCC 2141 BCBS ID#
Florida Other CH #0007165 BCBS ID#
Florida MEDICAID 381927200 BCBS ID#
Florida Other 55540 BCBS ID#

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