Nickols, Pamela L
Nickols, Pamela L is an individual health care provider with primary practice located at 500 Se Washington Ave , Chehalis WA 98532-3058. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Nickols, Pamela L can be contacted via phone (509) 232-5766.Contact Information
Primary practice address
500 Se Washington Ave
Chehalis WA 98532-3058
Phone: (509) 232-5766
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | LP00049909 | Washington |
Profile Details
| NPI number | 1861957615 |
|---|---|
| LBN Legal business name | Nickols, Pamela L |
| Credentials | LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2019 |
| Last updated | Feb 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861957615 | NPPES |
| Washington | MEDICAID | 2077844 |
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