Krishnan, Nicholas

Krishnan, Nicholas is an individual health care provider with primary practice located at 1103 16Th Ave Se , Decatur AL 35601-3595. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Krishnan, Nicholas can be contacted via phone (256) 350-0362.

Contact Information

Primary practice address
1103 16Th Ave Se Decatur AL 35601-3595
Phone: (256) 350-0362
Fax: (256) 355-9779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1045 Alabama

Profile Details

NPI number 1699169474
LBN Legal business name Krishnan, Nicholas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2015
Last updated May 16th, 2015 - about 9 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 1699169474 NPPES
Alabama Other PA.1045 ALABAMA PA LICENSE
Alabama Other 51160179 ALABAMA PA LICENSE
Alabama MEDICAID 170557 ALABAMA PA LICENSE

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