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
Fax: (304) 594-0150
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902849094 NPPES
West Virginia MEDICAID 0136227000

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