Mcdermott, Nicole B

Mcdermott, Nicole B is an individual health care provider with primary practice located at 1906 Blake Avenue , Glenwood Springs CO 81601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Mcdermott, Nicole B can be contacted via phone (970) 945-6535.

Contact Information

Primary practice address
1906 Blake Avenue Glenwood Springs CO 81601
Phone: (970) 945-6535
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 44410 Colorado

Profile Details

NPI number 1871710285
LBN Legal business name Mcdermott, Nicole B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Apr 24th, 2008 - about 17 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 1871710285 NPPES
Colorado MEDICAID 20086776
Colorado Other 017283

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