Massie, Nicolisa D
Massie, Nicolisa D is an individual health care provider with primary practice located at 3485 Independence Dr , Homewood AL 35209-5603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Massie, Nicolisa D can be contacted via phone (205) 930-0920.Contact Information
Primary practice address
3485 Independence Dr
Homewood AL 35209-5603
Phone: (205) 930-0920
Fax: (205) 445-0115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 00019447 | Alabama |
Profile Details
| NPI number | 1033182241 |
|---|---|
| LBN Legal business name | Massie, Nicolisa D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Nov 24th, 2014 - about 10 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 | 1033182241 | NPPES |
| Alabama | MEDICAID | 009940783 | |
| Alabama | Other | 1911001 | |
| Alabama | Other | H17904 | |
| Alabama | Other | 3069868001 | |
| Alabama | Other | 51096368 | |
| Alabama | Other | 0366100001 | |
| Alabama | Other | H17904 | |
| Alabama | Other | 7693171 | |
| Alabama | Other | D815 | |
| Alabama | Other | 0366100001 |
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3485 Independence Dr , Homewood AL 35209-5603