Nicholson, James A
Nicholson, James A is an sole proprietor health care provider with primary practice located at 120 South 28Th Avenue , Hattiesburg MS 39401. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Nicholson, James A can be contacted via phone (601) 268-1111.Contact Information
Primary practice address
120 South 28Th Avenue
Hattiesburg MS 39401
Phone: (601) 268-1111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 194181 | Mississippi |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 6883 | Mississippi |
Profile Details
| NPI number | 1962674655 |
|---|---|
| LBN Legal business name | Nicholson, James A |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2008 |
| Last updated | Apr 3rd, 2008 - about 17 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 | 1962674655 | NPPES |
| Mississippi | MEDICAID | 00060351 |
Popular Providers
-
Head, Christy Dryden
7117 Us Hwy 98 West Suite 10, Hattiesburg MS 39402 -
Tibbetts, John Raschen
5353 Main St , Williamsville NY 14221-5337 -
Henderson, Juliana Cran
704 S 28Th Ave Suite 20, Hattiesburg MS 39402-2524 -
Albright, Richard H
1834 Oregon Pike , Lancaster PA 17601-6463 -
Graf, Steven J
4738 Scotts Valley Dr Ste C, Scotts Valley CA 95066-4239 -
Wilson, David G
1372 N Susquehanna Trl Suite 140, Selinsgrove PA 17870-8971 -
Mutschler, Mark
13908 Se Stark St Ste C, Portland OR 97233-2161 -
Kimbrough, Sarah Burnham
7117 U S Highway 98 Ste 10 , Hattiesburg MS 39402-1757