Mousdicas, Nico

Mousdicas, Nico is an individual health care provider with primary practice located at 755 W Carmel Dr Suite 101, Carmel IN 46032-5877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Mousdicas, Nico can be contacted via phone (317) 846-2396.

Contact Information

Primary practice address
755 W Carmel Dr Suite 101 Carmel IN 46032-5877
Phone: (317) 846-2396
Fax: (317) 846-1699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01061689A Indiana

Profile Details

NPI number 1144238650
LBN Legal business name Mousdicas, Nico
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Feb 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144238650 NPPES
Indiana MEDICAID 200488150
Indiana Other 000000334111
Indiana Other 000000563670

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