Nicklebur, Scott A.

Nicklebur, Scott A. is an individual health care provider with primary practice located at 302 University Blvd , Round Rock TX 78665-1032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Nicklebur, Scott A. can be contacted via phone (512) 509-0200.

Contact Information

Primary practice address
302 University Blvd Round Rock TX 78665-1032
Phone: (512) 509-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X L3040 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L3040 Texas

Profile Details

NPI number 1740233600
LBN Legal business name Nicklebur, Scott A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jan 7th, 2021 - about 3 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 1740233600 NPPES
Texas MEDICAID 170178102
Texas MEDICAID 170178101

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