Nicoloff, Marc

Nicoloff, Marc is an individual health care provider with primary practice located at 1600 Saint Johns Blvd Suite 201, Maplewood MN 55109-1183. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Nicoloff, Marc can be contacted via phone (651) 747-8500.

Contact Information

Primary practice address
1600 Saint Johns Blvd Suite 201 Maplewood MN 55109-1183
Phone: (651) 747-8500
Fax: (651) 747-8501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Minnesota

Profile Details

NPI number 1619115458
LBN Legal business name Nicoloff, Marc
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2009
Last updated Mar 11th, 2021 - about 3 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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