Nicholas, Marni L
Nicholas, Marni L is an individual health care provider with primary practice located at 1080 E Indiantown Rd Suite 206, Jupiter FL 33477-5100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Nicholas, Marni L can be contacted via phone (561) 741-5566.Contact Information
Primary practice address
1080 E Indiantown Rd Suite 206
Jupiter FL 33477-5100
Phone: (561) 741-5566
Fax: (561) 295-5237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12286 | New Hampshire |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 229705 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME123735 | Florida |
Profile Details
| NPI number | 1174517122 |
|---|---|
| LBN Legal business name | Nicholas, Marni L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Jan 29th, 2016 - about 9 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 | 1174517122 | NPPES |
| New Hampshire | MEDICAID | 30204330 | |
| New Hampshire | MEDICAID | 420610099 | |
| New Hampshire | MEDICAID | 3082849 |
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