Mittica, Nicholas M.
Mittica, Nicholas M. is an sole proprietor health care provider with primary practice located at 604 W Spring St , Silver City NM 88061-4847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mittica, Nicholas M. can be contacted via phone (575) 388-4464.Contact Information
Primary practice address
604 W Spring St
Silver City NM 88061-4847
Phone: (575) 388-4464
Fax: (575) 388-2014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD2004-0317 | New Mexico |
Profile Details
| NPI number | 1023060696 |
|---|---|
| LBN Legal business name | Mittica, Nicholas M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Nov 11th, 2019 - about 5 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 | 1023060696 | NPPES |
| New Mexico | MEDICAID | 27502562 |
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