Clement, Daviece Nickee
Clement, Daviece Nickee is an individual health care provider with primary practice located at 0 E 4Th St Ste 14B , Richmond VA 23224-4202. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Clement, Daviece Nickee can be contacted via phone (804) 608-9453.Contact Information
Primary practice address
0 E 4Th St Ste 14B
Richmond VA 23224-4202
Phone: (804) 608-9453
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X | 1204020181 | Virginia |
Profile Details
| NPI number | 1558924696 |
|---|---|
| LBN Legal business name | Clement, Daviece Nickee |
| Credentials | HAIR LOSS SPECIALIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2019 |
| Last updated | Apr 15th, 2019 - about 5 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 | 1558924696 | NPPES |
| Virginia | Other | S4080405-5 | VA STATE CORPORATION COMMISSION |
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