Oldenburg, Nicklas B
Oldenburg, Nicklas B is an individual health care provider with primary practice located at 825 N Main St , Providence RI 02904-5707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Oldenburg, Nicklas B can be contacted via phone (401) 521-9700.Contact Information
Primary practice address
825 N Main St
Providence RI 02904-5707
Phone: (401) 521-9700
Fax: (401) 751-1686
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 10931 | Rhode Island |
Profile Details
NPI number | 1801899760 |
---|---|
LBN Legal business name | Oldenburg, Nicklas B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2005 |
Last updated | Feb 18th, 2016 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801899760 | NPPES |
Rhode Island | Other | 920007190 | RR MEDICARE |
Rhode Island | MEDICAID | 110000497A | RR MEDICARE |
Rhode Island | MEDICAID | 7009934 | RR MEDICARE |
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