Nicholls, Brian

Nicholls, Brian is an individual health care provider with primary practice located at 1925 Pacific Ave , Atlantic City NJ 08401-6713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Nicholls, Brian can be contacted via phone (609) 345-4000.

Contact Information

Primary practice address
1925 Pacific Ave Atlantic City NJ 08401-6713
Phone: (609) 345-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MB06977500 New Jersey

Profile Details

NPI number 1841244365
LBN Legal business name Nicholls, Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Dec 21st, 2007 - about 17 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 1841244365 NPPES
New Jersey Other 60018879 HORIZON HEALTH
New Jersey Other 2648518000 HORIZON HEALTH
New Jersey Other 30028088 HORIZON HEALTH
New Jersey MEDICAID 8812501 HORIZON HEALTH

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