Brush, Nichollas James
Brush, Nichollas James is an individual health care provider with primary practice located at 1724 W Union Ave Ste 100 , Tacoma WA 98405-2099. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Brush, Nichollas James can be contacted via phone (253) 830-5200.Contact Information
Primary practice address
1724 W Union Ave Ste 100
Tacoma WA 98405-2099
Phone: (253) 830-5200
Fax: (253) 752-1160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 61148690 | Washington |
Profile Details
| NPI number | 1487239620 |
|---|---|
| LBN Legal business name | Brush, Nichollas James |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2021 |
| Last updated | May 11th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487239620 | NPPES |
| Washington | MEDICAID | 2176684 |
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