Nickel, Mary-Beth

Nickel, Mary-Beth is an individual health care provider with primary practice located at 1010 Sw Coast Hwy Ste 306 , Newport OR 97365-5241. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Veterinarian. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Nickel, Mary-Beth can be contacted via phone (541) 264-8808.

Contact Information

Primary practice address
1010 Sw Coast Hwy Ste 306 Newport OR 97365-5241
Phone: (541) 264-8808
Fax: (541) 264-8808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X RR0502 Oregon
Other Service Providers / Veterinarian 174M00000X 4404 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C2151 Oregon

Profile Details

NPI number 1588855910
LBN Legal business name Nickel, Mary-Beth
Credentials L.P.C, M.A., D.V.M.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2007
Last updated Aug 9th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588855910 NPPES
Oregon MEDICAID 123190

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