Nicolette, Linda A

Nicolette, Linda A is an individual health care provider with primary practice located at 201 Cedar St Se Ste 4660 , Albuquerque NM 87106-4924. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Nicolette, Linda A can be contacted via phone (505) 563-6530.

Contact Information

Primary practice address
201 Cedar St Se Ste 4660 Albuquerque NM 87106-4924
Phone: (505) 563-6530
Fax: (505) 563-6336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 204554 New York
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 204554 New York
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 91-101 New Mexico

Profile Details

NPI number 1265476550
LBN Legal business name Nicolette, Linda A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Mar 25th, 2016 - about 10 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 1265476550 NPPES
New York MEDICAID 01690293
New York MEDICAID 56509766

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