Nickel, Jack

Nickel, Jack is an sole proprietor health care provider with primary practice located at 1840 E Broadway Rd , Tempe AZ 85282-1614. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Nickel, Jack can be contacted via phone (480) 205-0338.

Contact Information

Primary practice address
1840 E Broadway Rd Tempe AZ 85282-1614
Phone: (480) 205-0338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1952903916
LBN Legal business name Nickel, Jack
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2020
Last updated Nov 13th, 2020 - about 5 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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