Nickerson, James Maynard

Nickerson, James Maynard is an individual health care provider with primary practice located at 590 Court St , Keene NH 03431-1719. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Nickerson, James Maynard can be contacted via phone (603) 354-5466.

Contact Information

Primary practice address
590 Court St Keene NH 03431-1719
Phone: (603) 354-5466
Fax: (603) 354-5468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 9781 New Hampshire
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 0420009373 Vermont
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 9781 New Hampshire
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 0420009373 Vermont

Profile Details

NPI number 1811950843
LBN Legal business name Nickerson, James Maynard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Mar 29th, 2012 - about 13 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 1811950843 NPPES
New Hampshire MEDICAID 30009784

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