Nicholls, Stephen
Nicholls, Stephen is an individual health care provider with primary practice located at 200 Ne Mother Joseph Pl Suite 330, Vancouver WA 98664-3299. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Nicholls, Stephen can be contacted via phone (360) 514-1854.Contact Information
Primary practice address
200 Ne Mother Joseph Pl Suite 330
Vancouver WA 98664-3299
Phone: (360) 514-1854
Fax: (360) 514-6063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 23966 | Washington |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD00023966 | Washington |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD03825IL | Pennsylvania |
Profile Details
| NPI number | 1437187598 |
|---|---|
| LBN Legal business name | Nicholls, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Sep 30th, 2016 - about 8 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 | 1437187598 | NPPES |
| Washington | MEDICAID | 8105322 |
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