Nickelson, Liem Nguyen

Nickelson, Liem Nguyen is an sole proprietor health care provider with primary practice located at 3635 Vista Ave , Saint Louis MO 63110-2539. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Nickelson, Liem Nguyen can be contacted via phone (314) 577-8000.

Contact Information

Primary practice address
3635 Vista Ave Saint Louis MO 63110-2539
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 2011030647 Missouri

Profile Details

NPI number 1760764138
LBN Legal business name Nickelson, Liem Nguyen
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2011
Last updated Feb 21st, 2017 - about 7 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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