Nickelsen, Julie Anne

Nickelsen, Julie Anne is an individual health care provider with primary practice located at 2320 Woolsey St Suite 314, Berkeley CA 94705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nickelsen, Julie Anne can be contacted via phone (510) 841-2822.

Contact Information

Primary practice address
2320 Woolsey St Suite 314 Berkeley CA 94705
Phone: (510) 841-2822
Fax: (510) 841-1304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G50886 California

Profile Details

NPI number 1598720914
LBN Legal business name Nickelsen, Julie Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 8th, 2007 - about 17 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 1598720914 NPPES
California MEDICAID 00G058860

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