Braley, Nicholas
Braley, Nicholas is an sole proprietor health care provider with primary practice located at 134 S Peace Haven Rd , Winston Salem NC 27104-4418. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Braley, Nicholas can be contacted via phone (336) 765-5546.Contact Information
Primary practice address
134 S Peace Haven Rd
Winston Salem NC 27104-4418
Phone: (336) 765-5546
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2883 | North Carolina |
Profile Details
| NPI number | 1437865094 |
|---|---|
| LBN Legal business name | Braley, Nicholas |
| Credentials | ATC, LAT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2023 |
| Last updated | Jan 26th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437865094 | NPPES |
| North Carolina | MEDICAID | 2883 |
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