Nichols, Julie Ann

Nichols, Julie Ann is an individual health care provider with primary practice located at 1729 Burrstone Rd , New Hartford NY 13413-1001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nichols, Julie Ann can be contacted via phone (315) 798-1660.

Contact Information

Primary practice address
1729 Burrstone Rd New Hartford NY 13413-1001
Fax: (315) 798-1707
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F334378 New York

Profile Details

NPI number 1184648180
LBN Legal business name Nichols, Julie Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Mar 7th, 2023 - about last year

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 1184648180 NPPES
New York MEDICAID 02638966

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