Nickerson, Heather

Nickerson, Heather is an sole proprietor health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Nickerson, Heather can be contacted via phone (508) 560-0011.

Contact Information

Primary practice address
365 Montauk Ave New London CT 06320-4700
Phone: (508) 560-0011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3135 Connecticut

Profile Details

NPI number 1669889481
LBN Legal business name Nickerson, Heather
Credentials MS PA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2014
Last updated Jul 14th, 2014 - about 10 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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