Pace, Nicole Corinna
Pace, Nicole Corinna is an individual health care provider with primary practice located at 18 Old Etna Rd Dh - Dermatology, Lebanon NH 03766. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Pace, Nicole Corinna can be contacted via phone (603) 650-3100.Contact Information
Primary practice address
18 Old Etna Rd Dh - Dermatology
Lebanon NH 03766
Phone: (603) 650-3100
Fax: (603) 650-3174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 12887 | New Hampshire |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 12887 | New Hampshire |
Profile Details
| NPI number | 1306879804 |
|---|---|
| LBN Legal business name | Pace, Nicole Corinna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Dec 6th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306879804 | NPPES |
| New Hampshire | MEDICAID | 30206079 | |
| New Hampshire | MEDICAID | 1012717 |
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