Duletzke, Nicholas Taylor
Duletzke, Nicholas Taylor is an sole proprietor health care provider with primary practice located at 505 Ne 87Th Ave Ste 301 , Vancouver WA 98664-1965. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Duletzke, Nicholas Taylor can be contacted via phone (360) 514-1854.Contact Information
Primary practice address
505 Ne 87Th Ave Ste 301
Vancouver WA 98664-1965
Phone: (360) 514-1854
Fax: (360) 514-6063
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD61281239 | Washington |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD61281239 | Washington |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | MD61281239 | Washington |
Profile Details
NPI number | 1417319922 |
---|---|
LBN Legal business name | Duletzke, Nicholas Taylor |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 23rd, 2016 |
Last updated | Jun 8th, 2022 - about 3 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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