Nicholson, Brian Emison
Nicholson, Brian Emison is an individual health care provider with primary practice located at 3612 23Rd St , Lubbock TX 79410-1326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Nicholson, Brian Emison can be contacted via phone (806) 793-8787.Contact Information
Primary practice address
3612 23Rd St
Lubbock TX 79410-1326
Phone: (806) 793-8787
Fax: (806) 793-0150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | L9397 | Texas |
Profile Details
| NPI number | 1376541490 |
|---|---|
| LBN Legal business name | Nicholson, Brian Emison |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Apr 3rd, 2014 - about 11 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 | 1376541490 | NPPES |
| Texas | MEDICAID | 178560201 |
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