Nickles, Donna
Nickles, Donna is an individual health care provider with primary practice located at 80 Eisenhower Dr Suite 200, Paramus NJ 07652-1401. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Nickles, Donna can be contacted via phone (201) 843-2800.Contact Information
Primary practice address
80 Eisenhower Dr Suite 200
Paramus NJ 07652-1401
Phone: (201) 843-2800
Fax: (973) 939-0273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MB03792500 | New Jersey |
Profile Details
| NPI number | 1063400547 |
|---|---|
| LBN Legal business name | Nickles, Donna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Apr 25th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063400547 | NPPES |
| New Jersey | Other | 2807666 | AETNA HMO # |
| New Jersey | Other | 39F312 | AETNA HMO # |
| New Jersey | Other | 160055692 | AETNA HMO # |
| New Jersey | Other | 1K4890 | AETNA HMO # |
| New Jersey | Other | P2631203 | AETNA HMO # |
| New Jersey | Other | 0105583000 | AETNA HMO # |
| New Jersey | Other | 4252756 | AETNA HMO # |
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