Richards, Nicholas

Richards, Nicholas is an individual health care provider with primary practice located at 1 Boone Rd , Bremerton WA 98312-1894. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Richards, Nicholas can be contacted via phone (360) 475-4721.

Contact Information

Primary practice address
1 Boone Rd Bremerton WA 98312-1894
Phone: (360) 475-4721
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 11469067-1206 Utah

Profile Details

NPI number 1164965109
LBN Legal business name Richards, Nicholas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2016
Last updated Jan 11th, 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 1164965109 NPPES
Utah Other 11469067-8906 UTAH CS 2-5 LICENSE
Utah Other 11469067-1206 UTAH CS 2-5 LICENSE

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