Nicolaisen, John Eliot
Nicolaisen, John Eliot is an individual health care provider with primary practice located at 18523 Corwin Rd Ste G , Apple Valley CA 92307-2300. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Nicolaisen, John Eliot can be contacted via phone (760) 242-3376.Contact Information
Primary practice address
18523 Corwin Rd Ste G
Apple Valley CA 92307-2300
Phone: (760) 242-3376
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA52168 | California |
Profile Details
| NPI number | 1548666738 |
|---|---|
| LBN Legal business name | Nicolaisen, John Eliot |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2014 |
| Last updated | Sep 11th, 2017 - about 7 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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