Vicknair, Nathan

Vicknair, Nathan is an individual health care provider with primary practice located at 400 W 16Th St , Pueblo CO 81003-2745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Vicknair, Nathan can be contacted via phone (719) 584-4000.

Contact Information

Primary practice address
400 W 16Th St Pueblo CO 81003-2745
Phone: (719) 584-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 352219 Louisiana

Profile Details

NPI number 1376171298
LBN Legal business name Vicknair, Nathan
Credentials STUDENT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2020
Last updated Aug 6th, 2026 - about 3 months 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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