Nicholson, Diane A
Nicholson, Diane A is an individual health care provider with primary practice located at 5925 15Th Ave , Brooklyn NY 11219-5009. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Nicholson, Diane A can be contacted via phone (718) 972-2700.Contact Information
Primary practice address
5925 15Th Ave
Brooklyn NY 11219-5009
Phone: (718) 972-2700
Fax: (718) 532-1724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | F000305-1 | New York |
Profile Details
| NPI number | 1457358095 |
|---|---|
| LBN Legal business name | Nicholson, Diane A |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Jan 8th, 2014 - about 10 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 | 1457358095 | NPPES |
| New York | MEDICAID | 01556629 |
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