Detrick, Nicholas A

Detrick, Nicholas A is an individual health care provider with primary practice located at 1100 Wilford Hall Loop Bldg 4554 , Jbsa Lackland TX 78236-5638. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Detrick, Nicholas A can be contacted via phone (210) 292-7395.

Contact Information

Primary practice address
1100 Wilford Hall Loop Bldg 4554 Jbsa Lackland TX 78236-5638
Fax:
Website:

Health care specialties

Profile Details

NPI number 1306360797
LBN Legal business name Detrick, Nicholas A
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2017
Last updated Jul 18th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306360797 NPPES
Other 1306360797 NPI

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