Adams, Nicole L

Adams, Nicole L is an individual health care provider with primary practice located at 4915 E Baseline Rd Ste 121 , Gilbert AZ 85234-2969. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Adams, Nicole L can be contacted via phone (480) 812-3668.

Contact Information

Primary practice address
4915 E Baseline Rd Ste 121 Gilbert AZ 85234-2969
Phone: (480) 812-3668
Fax: (480) 782-1290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901002357 Michigan
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0771 Arizona

Profile Details

NPI number 1760770556
LBN Legal business name Adams, Nicole L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2011
Last updated Jul 21st, 2022 - 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 1760770556 NPPES
Arizona MEDICAID 856348

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