Nino, John
Nino, John is an individual health care provider with primary practice located at 6002 Professional Pkwy Suite 100, Douglasville GA 30134-5600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Nino, John can be contacted via phone (770) 949-4200.Contact Information
Primary practice address
6002 Professional Pkwy Suite 100
Douglasville GA 30134-5600
Phone: (770) 949-4200
Fax: (770) 949-5553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 045901 | Georgia |
Profile Details
| NPI number | 1689670804 |
|---|---|
| LBN Legal business name | Nino, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jun 30th, 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 | 1689670804 | NPPES |
| Georgia | MEDICAID | 000799202A |
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