Hurcomb, Nicole Lambert
Hurcomb, Nicole Lambert is an sole proprietor health care provider with primary practice located at 51584 State Road 933 , South Bend IN 46637-1704. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Hurcomb, Nicole Lambert can be contacted via phone (574) 272-6575.Contact Information
Primary practice address
51584 State Road 933
South Bend IN 46637-1704
Phone: (574) 272-6575
Fax: (574) 272-6587
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 12010971A | Indiana |
Dental Providers / General Practice | 1223G0001X | 12010971A | Indiana |
Profile Details
NPI number | 1427259175 |
---|---|
LBN Legal business name | Hurcomb, Nicole Lambert |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 30th, 2007 |
Last updated | Sep 11th, 2014 - about 11 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 | 1427259175 | NPPES |
Indiana | MEDICAID | 200884210 |
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