Nishijima, Nicklaus
Nishijima, Nicklaus is an individual health care provider with primary practice located at 2067 W Vista Way Ste 265 , Vista CA 92083-6034. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Nishijima, Nicklaus can be contacted via phone (760) 463-9155.Contact Information
Primary practice address
2067 W Vista Way Ste 265
Vista CA 92083-6034
Phone: (760) 463-9155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E6118 | California |
Profile Details
| NPI number | 1144896234 |
|---|---|
| LBN Legal business name | Nishijima, Nicklaus |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2021 |
| Last updated | Apr 29th, 2025 - about last year |
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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