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
Phone: (304) 414-1880
Fax: (304) 414-1886
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104056878 | NPPES |
| West Virginia | MEDICAID | 3003934000 |
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