Mistichelli, Nicole Marie

Mistichelli, Nicole Marie is an individual health care provider with primary practice located at 10 Church St , Little Silver NJ 07739-1440. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Mistichelli, Nicole Marie can be contacted via phone (732) 741-1121.

Contact Information

Primary practice address
10 Church St Little Silver NJ 07739-1440
Phone: (732) 741-1121
Fax: (732) 224-0107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28RI02615300 New Jersey

Profile Details

NPI number 1396956843
LBN Legal business name Mistichelli, Nicole Marie
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Jul 8th, 2007 - 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 1396956843 NPPES
New Jersey Other 28RI02615300 STATE PHARMACIST LICENSE

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