Nilsen, Johnathan

Nilsen, Johnathan is an individual health care provider with primary practice located at 1560 Sycamore Ave , Hercules CA 94547-1701. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Nilsen, Johnathan can be contacted via phone (510) 799-1252.

Contact Information

Primary practice address
1560 Sycamore Ave Hercules CA 94547-1701
Phone: (510) 799-1252
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 77320 California

Profile Details

NPI number 1740799436
LBN Legal business name Nilsen, Johnathan
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2017
Last updated Sep 25th, 2017 - about 8 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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