Nickell, Timothy P

Nickell, Timothy P is an individual health care provider with primary practice located at 331 S Main St , Rice Lake WI 54868-2253. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Nickell, Timothy P can be contacted via phone (715) 236-8500.

Contact Information

Primary practice address
331 S Main St Rice Lake WI 54868-2253
Phone: (715) 236-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2892-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2892 Wisconsin

Profile Details

NPI number 1346516044
LBN Legal business name Nickell, Timothy P
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2012
Last updated Feb 3rd, 2021 - about 3 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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