Dolezal, Nicholas Scott

Dolezal, Nicholas Scott is an individual health care provider with primary practice located at 3003 Hway 95 Ste 61 , Bullhead City AZ 86442-7896. 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. Dolezal, Nicholas Scott can be contacted via phone (928) 440-6880.

Contact Information

Primary practice address
3003 Hway 95 Ste 61 Bullhead City AZ 86442-7896
Phone: (928) 440-6880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X LPT-32019 Arizona

Profile Details

NPI number 1003587270
LBN Legal business name Dolezal, Nicholas Scott
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2021
Last updated Sep 27th, 2021 - about 4 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 1003587270 NPPES
Arizona Other LPT-32019 ARIZONA STATE LICENSE

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