Niccum, David Ernest
Niccum, David Ernest is an individual health care provider with primary practice located at 640 Jackson St Ms 11502B, St. Paul MN 55101-2502. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Niccum, David Ernest can be contacted via phone (651) 254-3135.Contact Information
Primary practice address
640 Jackson St Ms 11502B
St. Paul MN 55101-2502
Phone: (651) 254-3135
Fax: (651) 254-3048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 56658 | Minnesota |
Profile Details
| NPI number | 1316110869 |
|---|---|
| LBN Legal business name | Niccum, David Ernest |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2008 |
| Last updated | Mar 17th, 2018 - about 6 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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