Nicholls, Mathew A

Nicholls, Mathew A is an individual health care provider with primary practice located at 11695 Ne 4Th St , Bellevue WA 98004-5268. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Nicholls, Mathew A can be contacted via phone (425) 637-1855.

Contact Information

Primary practice address
11695 Ne 4Th St Bellevue WA 98004-5268
Phone: (425) 637-1855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 36058 Kentucky
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD60713968 Washington

Profile Details

NPI number 1336180413
LBN Legal business name Nicholls, Mathew A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 23rd, 2020 - about 4 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 1336180413 NPPES
Kentucky Other 0000000335141 BCBS
Kentucky Other 7995543 BCBS
Kentucky MEDICAID 64077316 BCBS

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