Nicholson, Clinton John
Nicholson, Clinton John is an individual health care provider with primary practice located at 1 Colville Street , Nespelem WA 99155. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Nicholson, Clinton John can be contacted via phone (509) 634-2727.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP00002406 | Washington |
Profile Details
| NPI number | 1457677965 |
|---|---|
| LBN Legal business name | Nicholson, Clinton John |
| Credentials | CP00002406 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2010 |
| Last updated | Apr 9th, 2010 - about 15 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 | 1457677965 | NPPES |
| Washington | MEDICAID | 1992957 |
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