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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871636332 NPPES
Missouri MEDICAID 918368408

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