Roberts, Nicholas Winter
Roberts, Nicholas Winter is an sole proprietor health care provider with primary practice located at 249 Calle Villario , San Clemente CA 92672-2130. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Roberts, Nicholas Winter can be contacted via phone (949) 464-7715.Contact Information
Primary practice address
249 Calle Villario
San Clemente CA 92672-2130
Phone: (949) 464-7715
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 91023 | California |
Profile Details
| NPI number | 1619603164 |
|---|---|
| LBN Legal business name | Roberts, Nicholas Winter |
| Credentials | MASSAGE THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2022 |
| Last updated | Jul 27th, 2022 - about 4 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 | 1619603164 | NPPES |
| California | Other | 91023 | CALIFORNIA MASSAGE THERAPY COUNCIL CERTIFICATION |
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