Nilsson, Kim Vincent
Nilsson, Kim Vincent is an sole proprietor health care provider with primary practice located at 1015 N Court St , Medina OH 44256-1582. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Nilsson, Kim Vincent can be contacted via phone (330) 725-2706.Contact Information
Primary practice address
1015 N Court St
Medina OH 44256-1582
Phone: (330) 725-2706
Fax: (330) 725-2706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 03211210 | Ohio |
Profile Details
| NPI number | 1558656942 |
|---|---|
| LBN Legal business name | Nilsson, Kim Vincent |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2011 |
| Last updated | Jun 14th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558656942 | NPPES |
| Ohio | MEDICAID | 0162443 | |
| Ohio | Other | 340006148 |
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