Green, Nichole

Green, Nichole is an individual health care provider with primary practice located at 535 Main St , Olean NY 14760-1513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Green, Nichole can be contacted via phone (716) 372-0141.

Contact Information

Primary practice address
535 Main St Olean NY 14760-1513
Fax: (716) 372-6421
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 008480 New York

Profile Details

NPI number 1376535393
LBN Legal business name Green, Nichole
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Feb 16th, 2012 - about 12 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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