Nickodem, Anne M

Nickodem, Anne M is an sole proprietor health care provider with primary practice located at 45155 Research Pl Ste 110 , Ashburn VA 20147-4192. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Nickodem, Anne M can be contacted via phone (703) 560-8711.

Contact Information

Primary practice address
45155 Research Pl Ste 110 Ashburn VA 20147-4192
Fax: (703) 552-2015
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 0101047333 West Virginia

Profile Details

NPI number 1487826491
LBN Legal business name Nickodem, Anne M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2008
Last updated Sep 8th, 2023 - about last year

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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