Ilukowicz, Nicole H
Ilukowicz, Nicole H is an individual health care provider with primary practice located at 933 E Haverford Rd , Bryn Mawr PA 19010-3819. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ilukowicz, Nicole H can be contacted via phone (610) 527-3800.Contact Information
Primary practice address
933 E Haverford Rd
Bryn Mawr PA 19010-3819
Phone: (610) 527-3800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA003645L | Pennsylvania |
Profile Details
| NPI number | 1649483520 |
|---|---|
| LBN Legal business name | Ilukowicz, Nicole H |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1649483520 | NPPES |
| Pennsylvania | Other | MA003645L | LICENSE |
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