Nicholas, Jane Elizabeth

Nicholas, Jane Elizabeth is an individual health care provider with primary practice located at 800 Pennsylvania Ave , Charleston WV 25302-3351. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Nicholas, Jane Elizabeth can be contacted via phone (304) 414-1880.

Contact Information

Primary practice address
800 Pennsylvania Ave Charleston WV 25302-3351
Fax: (304) 414-1886
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20979 West Virginia

Profile Details

NPI number 1104056878
LBN Legal business name Nicholas, Jane Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2009
Last updated Aug 12th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104056878 NPPES
West Virginia MEDICAID 3003934000

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