Nicholson, Les Edward
Nicholson, Les Edward is an individual health care provider with primary practice located at 2220 Cheat Rd , Morgantown WV 26508-4453. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nicholson, Les Edward can be contacted via phone (304) 594-1499.Contact Information
Primary practice address
2220 Cheat Rd
Morgantown WV 26508-4453
Phone: (304) 594-1499
Fax: (304) 594-0150
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 2331 | West Virginia |
Profile Details
NPI number | 1902849094 |
---|---|
LBN Legal business name | Nicholson, Les Edward |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2006 |
Last updated | Jun 28th, 2013 - about 12 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 | 1902849094 | NPPES |
West Virginia | MEDICAID | 0136227000 |
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