Nickman, Steven Louis
Nickman, Steven Louis is an sole proprietor health care provider with primary practice located at 26 Holly Ln Apt 2B , Chestnut Hill MA 02467-2155. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Nickman, Steven Louis can be contacted via phone (617) 734-3016.Contact Information
Primary practice address
26 Holly Ln Apt 2B
Chestnut Hill MA 02467-2155
Phone: (617) 734-3016
Fax: (617) 739-8286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 32763 | Massachusetts |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 32763 | Massachusetts |
Profile Details
| NPI number | 1104881432 |
|---|---|
| LBN Legal business name | Nickman, Steven Louis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Oct 14th, 2022 - about 2 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 | 1104881432 | NPPES |
| Massachusetts | MEDICAID | 2012847 | |
| Massachusetts | Other | 032763 |
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