Dietz, Nicole
Dietz, Nicole is an sole proprietor health care provider with primary practice located at 17 Roosevelt Ave , Sayville NY 11782-2314. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Dietz, Nicole can be contacted via phone (631) 567-7749.Contact Information
Primary practice address
17 Roosevelt Ave
Sayville NY 11782-2314
Phone: (631) 567-7749
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 477864 | New York |
Profile Details
NPI number | 1215268826 |
---|---|
LBN Legal business name | Dietz, Nicole |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 21st, 2010 |
Last updated | Jan 21st, 2010 - about 14 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 | 1215268826 | NPPES |
New York | Other | 477864 | REGISTERED NURSE LICENSE |
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