Girdner, Nicholas Bernard
Girdner, Nicholas Bernard is an individual health care provider with primary practice located at 211 S 3Rd St , Belleville IL 62220-1915. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Girdner, Nicholas Bernard can be contacted via phone (618) 234-2120.Contact Information
Primary practice address
211 S 3Rd St
Belleville IL 62220-1915
Phone: (618) 234-2120
Fax: (618) 641-5410
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 2001018420 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 209007897 | Illinois |
Profile Details
NPI number | 1871636332 |
---|---|
LBN Legal business name | Girdner, Nicholas Bernard |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2007 |
Last updated | Oct 18th, 2016 - about 8 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 | 1871636332 | NPPES |
Missouri | MEDICAID | 918368408 |
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