Pelham, Nicole Colleen

Pelham, Nicole Colleen is an individual health care provider with primary practice located at 9300 Dewitt Loop , Fort Belvoir VA 22060-5285. She recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as her primary health care specialty. Pelham, Nicole Colleen can be contacted via phone (571) 231-7334.

Contact Information

Primary practice address
9300 Dewitt Loop Fort Belvoir VA 22060-5285
Phone: (571) 231-7334
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1821104969
LBN Legal business name Pelham, Nicole Colleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jun 27th, 2024 - about 2 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 1821104969 NPPES
Texas MEDICAID 160261702

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