Nicholas, Peter D
Nicholas, Peter D is an individual health care provider with primary practice located at 2760 Century Blvd , Wyomissing PA 19610-3359. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nicholas, Peter D can be contacted via phone (610) 375-4251.Contact Information
Primary practice address
2760 Century Blvd
Wyomissing PA 19610-3359
Phone: (610) 375-4251
Fax: (610) 375-6210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD021072E | Pennsylvania |
Profile Details
| NPI number | 1730185505 |
|---|---|
| LBN Legal business name | Nicholas, Peter D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Jul 6th, 2010 - about 14 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 | 1730185505 | NPPES |
| Pennsylvania | MEDICAID | 0006369910001 | |
| Pennsylvania | Other | 1730185505 |
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