Nicks, Andrew J.

Nicks, Andrew J. is an individual health care provider with primary practice located at 1000 Trancas Street , Napa CA 94558-2906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Nicks, Andrew J. can be contacted via phone (707) 252-4411.

Contact Information

Primary practice address
1000 Trancas Street Napa CA 94558-2906
Fax: (707) 252-2240
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G24715 California

Profile Details

NPI number 1326014820
LBN Legal business name Nicks, Andrew J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jun 17th, 2008 - about 16 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 1326014820 NPPES
California MEDICAID 00G247150

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