Lincavage, Nikolai X
Lincavage, Nikolai X is an individual health care provider with primary practice located at 29277 Us Highway 19 N # 29277 , Clearwater FL 33761-2102. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is his primary health care specialty. Lincavage, Nikolai X can be contacted via phone (727) 313-4764.Contact Information
Primary practice address
29277 Us Highway 19 N # 29277
Clearwater FL 33761-2102
Phone: (727) 313-4764
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | ||
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 19-469 | |
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | 19-469 |
Profile Details
NPI number | 1326685991 |
---|---|
LBN Legal business name | Lincavage, Nikolai X |
Credentials | CST, SA-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 3rd, 2019 |
Last updated | Mar 22nd, 2024 - about 8 months 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 | 1326685991 | NPPES |
Other | 19-469 | ABSA |
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