Heath, Nicklaus

Heath, Nicklaus is an individual health care provider with primary practice located at 2670 S Ferdon Blvd , Crestview FL 32536-5480. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Heath, Nicklaus can be contacted via phone (850) 634-0748.

Contact Information

Primary practice address
2670 S Ferdon Blvd Crestview FL 32536-5480
Phone: (850) 634-0748
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 22161 Florida

Profile Details

NPI number 1609259696
LBN Legal business name Heath, Nicklaus
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2015
Last updated Jan 3rd, 2017 - 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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