Nickeson, Melissa

Nickeson, Melissa is an sole proprietor health care provider with primary practice located at 1900 Shaw Ave Ste 101 , Clovis CA 93611-4209. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Nickeson, Melissa can be contacted via phone (559) 439-5300.

Contact Information

Primary practice address
1900 Shaw Ave Ste 101 Clovis CA 93611-4209
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1396217998
LBN Legal business name Nickeson, Melissa
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2018
Last updated Dec 19th, 2018 - 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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