Stevens, Nickalus

Stevens, Nickalus is an sole proprietor health care provider with primary practice located at 1581 Main St , Willimantic CT 06226-1134. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Stevens, Nickalus can be contacted via phone (860) 456-3214.

Contact Information

Primary practice address
1581 Main St Willimantic CT 06226-1134
Phone: (860) 456-3214
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 13192 Connecticut

Profile Details

NPI number 1215601687
LBN Legal business name Stevens, Nickalus
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2021
Last updated Aug 9th, 2021 - about 5 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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