Nicely, Eric R

Nicely, Eric R is an individual health care provider with primary practice located at 7557 Dannaher Ln Suite 230, Powell TN 37849-3558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Nicely, Eric R can be contacted via phone (865) 637-9431.

Contact Information

Primary practice address
7557 Dannaher Ln Suite 230 Powell TN 37849-3558
Phone: (865) 637-9431
Fax: (865) 637-8887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD0000019805 Tennessee

Profile Details

NPI number 1043210164
LBN Legal business name Nicely, Eric R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Dec 7th, 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 1043210164 NPPES
Tennessee Other 1669416442 GROUP NPI
Tennessee Other 3106070 GROUP NPI
Tennessee Other CI2260 GROUP NPI
Tennessee Other 3106086 GROUP NPI
Tennessee MEDICAID 3084254 GROUP NPI

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