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
Fax: (574) 272-6587
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427259175 NPPES
Indiana MEDICAID 200884210

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