Nickles, George B.
Nickles, George B. is an individual health care provider with primary practice located at 1600 Medical Pkwy , Carson City NV 89703-4625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Nickles, George B. can be contacted via phone (775) 445-8005.Contact Information
Primary practice address
1600 Medical Pkwy
Carson City NV 89703-4625
Phone: (775) 445-8005
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 6556 | Nevada |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 6556 | Nevada |
Profile Details
NPI number | 1841377173 |
---|---|
LBN Legal business name | Nickles, George B. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 1st, 2006 |
Last updated | Apr 15th, 2010 - about 14 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 | 1841377173 | NPPES |
Nevada | MEDICAID | 201317508 | |
Nevada | Other | B003 | |
Nevada | Other | NV4623 |
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