Nickerson, Warren Russell

Nickerson, Warren Russell is an individual health care provider with primary practice located at 1 Pearl St , Brockton MA 02301-2864. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Nickerson, Warren Russell can be contacted via phone (508) 584-4107.

Contact Information

Primary practice address
1 Pearl St Brockton MA 02301-2864
Phone: (508) 584-4107
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 29149 Massachusetts

Profile Details

NPI number 1750611794
LBN Legal business name Nickerson, Warren Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2010
Last updated Jun 3rd, 2014 - about 12 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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