Cornelius A. Nicholson

LBN: Cornelius A. Nicholson
Cornelius A. Nicholson is an health care organization with primary practice located at 2815 S Mcclellan St , Seattle WA 98144-5407. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Cornelius A. Nicholson can be contacted via phone (206) 722-5000, or through Nicholson, Cornelius A via phone (206) 722-5000.

Contact Information

Primary practice address
2815 S Mcclellan St Seattle WA 98144-5407
Phone: (206) 722-5000
Fax: (206) 721-1428
Website:
Map and Directions
Authorized official contact:
Name: Nicholson, Cornelius A Doctor of Dental Surgery (DDS)
Phone: (206) 722-5000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 6379 Washington

Profile Details

NPI number 1528153343
LBN Legal business name Cornelius A. Nicholson
DBA Doing business as
Authorized official Nicholson, Cornelius A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Apr 24th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528153343 NPPES
Washington Other 5055728 DSHS
Washington MEDICAID 5055728 DSHS
Washington Other 000830508 DSHS

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