Nimmo, Eric A.

Nimmo, Eric A. is an individual health care provider with primary practice located at 851 Westpoint Dr Suite 302, Wasilla AK 99654-7142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nimmo, Eric A. can be contacted via phone (907) 357-3850.

Contact Information

Primary practice address
851 Westpoint Dr Suite 302 Wasilla AK 99654-7142
Phone: (907) 357-3850
Fax: (907) 357-3851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3639 Alaska

Profile Details

NPI number 1538167952
LBN Legal business name Nimmo, Eric A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2005
Last updated Oct 1st, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538167952 NPPES
Alaska Other ENLXEXOPJ FAA
Alaska MEDICAID AA3639 FAA

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