Athienites, Nicolaos V

Athienites, Nicolaos V is an individual health care provider with primary practice located at 830 Oak St 125E, Brockton MA 02301-1168. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Athienites, Nicolaos V can be contacted via phone (508) 588-1505.

Contact Information

Primary practice address
830 Oak St 125E Brockton MA 02301-1168
Fax: (508) 588-1508
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 73425 Massachusetts

Profile Details

NPI number 1902804107
LBN Legal business name Athienites, Nicolaos V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Feb 2nd, 2024 - about last year

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 1902804107 NPPES
Other 10246 HARVARD
Other 760216 HARVARD
MEDICAID 3079937 HARVARD
Other J1127 HARVARD

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