Joslyn Eastham, Nichole A
Joslyn Eastham, Nichole A is an individual health care provider with primary practice located at 555 N Arlington Ave , Reno NV 89503-4723. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is her primary health care specialty. Joslyn Eastham, Nichole A can be contacted via phone (775) 786-3040.Contact Information
Primary practice address
555 N Arlington Ave
Reno NV 89503-4723
Phone: (775) 786-3040
Fax: (775) 788-5209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 21060 | Nevada |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 21060 | Nevada |
Profile Details
| NPI number | 1902223167 |
|---|---|
| LBN Legal business name | Joslyn Eastham, Nichole A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2014 |
| Last updated | Dec 20th, 2021 - about 4 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 | 1902223167 | NPPES |
| Other | 15081606 | CAQH | |
| MEDICAID | 1902223167 | CAQH |
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