Nicoloff, Jeremy

Nicoloff, Jeremy is an individual health care provider with primary practice located at 1501 Trousdale Dr Fl 1 , Burlingame CA 94010-4506. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Nicoloff, Jeremy can be contacted via phone (650) 652-8700.

Contact Information

Primary practice address
1501 Trousdale Dr Fl 1 Burlingame CA 94010-4506
Phone: (650) 652-8700
Fax: (650) 652-8705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA52946 California

Profile Details

NPI number 1912370305
LBN Legal business name Nicoloff, Jeremy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2015
Last updated May 6th, 2016 - about 9 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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