Edward P. Nikicicz, M.D., P.C.
LBN: Edward P. Nikicicz, M.D., P.C.
Edward P. Nikicicz, M.D., P.C. is an health care organization with primary practice located at 200 Medical Park Blvd , Petersburg VA 23805-9274. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty.
Edward P. Nikicicz, M.D., P.C. can be contacted via phone (804) 765-5026, or through Nikicicz, Edward Peter via phone (804) 862-5028.
Contact Information
Primary practice address
200 Medical Park Blvd
Petersburg VA 23805-9274
Phone: (804) 765-5026
Fax:
Website:
Authorized official contact:
Name: Nikicicz, Edward Peter Doctor of Medicine (MD)
Phone: (804) 862-5028
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | VA0101047885 | Virginia |
Profile Details
| NPI number | 1154493534 |
|---|---|
| LBN Legal business name | Edward P. Nikicicz, M.D., P.C. |
| DBA Doing business as | |
| Authorized official | Nikicicz, Edward Peter Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Dec 15th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154493534 | NPPES |
| Virginia | MEDICAID | 6600722 | |
| Virginia | Other | 086358 |
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