Nichols, Katelyn
Nichols, Katelyn is an individual health care provider with primary practice located at 1880 Lancaster Dr Ne Ste 121 , Salem OR 97305-1069. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Nichols, Katelyn can be contacted via phone (971) 600-3498.Contact Information
Primary practice address
1880 Lancaster Dr Ne Ste 121
Salem OR 97305-1069
Phone: (971) 600-3498
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | D10277 | Oregon |
| Dental Providers / Dentist | 122300000X | D10277 | Oregon |
Profile Details
| NPI number | 1073997086 |
|---|---|
| LBN Legal business name | Nichols, Katelyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2015 |
| Last updated | Mar 21st, 2022 - about 2 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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