Nicola, Jose Alfredo

Nicola, Jose Alfredo is an individual health care provider with primary practice located at Naval Health Clininc Great Lakes Branch Medical Clinic 1007 Uss Tranquility, Great Lakes IL 60088. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Nicola, Jose Alfredo can be contacted via phone (847) 688-2522.

Contact Information

Primary practice address
Naval Health Clininc Great Lakes Branch Medical Clinic 1007 Uss Tranquility Great Lakes IL 60088
Phone: (847) 688-2522
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1205891256
LBN Legal business name Nicola, Jose Alfredo
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Apr 18th, 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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