Nicklisch, Amoret E.

Nicklisch, Amoret E. is an individual health care provider with primary practice located at 2020 Sutter Pl Ste 101 , Davis CA 95616. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Nicklisch, Amoret E. can be contacted via phone (530) 750-5900.

Contact Information

Primary practice address
2020 Sutter Pl Ste 101 Davis CA 95616
Phone: (530) 750-5900
Fax: (530) 750-5891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 19105 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA19105 California

Profile Details

NPI number 1699972158
LBN Legal business name Nicklisch, Amoret E.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Feb 27th, 2019 - about 5 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 1699972158 NPPES
California Other 19105 MEDICAL BOARD OF PA

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