Nicholas, Patricia
Nicholas, Patricia is an individual health care provider with primary practice located at 12670 Creekside Ln Ste 202 , Fort Myers FL 33919-3370. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Nicholas, Patricia can be contacted via phone (239) 482-2663.Contact Information
Primary practice address
12670 Creekside Ln Ste 202
Fort Myers FL 33919-3370
Phone: (239) 482-2663
Fax: (239) 482-7585
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N005499 | New York |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO3946 | Florida |
Profile Details
NPI number | 1174587075 |
---|---|
LBN Legal business name | Nicholas, Patricia |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 17th, 2006 |
Last updated | Feb 15th, 2024 - about 7 months 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 | 1174587075 | NPPES |
New York | MEDICAID | 01904470 |
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