Nikolaisen, Robert

Nikolaisen, Robert is an individual health care provider with primary practice located at 1 Jarrett White Rd Rm 2A701 , Tripler Army Medical Center HI 96859-5001. 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. Nikolaisen, Robert can be contacted via phone (808) 433-3445.

Contact Information

Primary practice address
1 Jarrett White Rd Rm 2A701 Tripler Army Medical Center HI 96859-5001
Phone: (808) 433-3445
Fax: (808) 433-6539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X AMD-485 Hawaii

Profile Details

NPI number 1679642227
LBN Legal business name Nikolaisen, Robert
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jun 4th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1679642227 NPPES
Washington MEDICAID 8447930

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