Mancini, Nicole M
Mancini, Nicole M is an sole proprietor health care provider with primary practice located at 2151 Century Ln , Johnson City TN 37604. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mancini, Nicole M can be contacted via phone (423) 929-6941.Contact Information
Primary practice address
2151 Century Ln
Johnson City TN 37604
Phone: (423) 929-6941
Fax: (423) 929-6972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10919 | Tennessee |
Profile Details
| NPI number | 1356563290 |
|---|---|
| LBN Legal business name | Mancini, Nicole M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jun 20th, 2019 - about 6 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 | 1356563290 | NPPES |
| Tennessee | MEDICAID | Q047672 |
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