Nicolaus, Roger
Nicolaus, Roger is an individual health care provider with primary practice located at 1000 Robert Rd , Grants NM 87020-4012. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Nicolaus, Roger can be contacted via phone (505) 285-3378.Contact Information
Primary practice address
1000 Robert Rd
Grants NM 87020-4012
Phone: (505) 285-3378
Fax: (505) 285-3760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RP00007208 | New Mexico |
Profile Details
| NPI number | 1124435417 |
|---|---|
| LBN Legal business name | Nicolaus, Roger |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2014 |
| Last updated | Jul 17th, 2014 - about 11 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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