Pace, Nicole Corinna

Pace, Nicole Corinna is an individual health care provider with primary practice located at 18 Old Etna Rd Dh - Dermatology, Lebanon NH 03766. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Pace, Nicole Corinna can be contacted via phone (603) 650-3100.

Contact Information

Primary practice address
18 Old Etna Rd Dh - Dermatology Lebanon NH 03766
Phone: (603) 650-3100
Fax: (603) 650-3174
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 12887 New Hampshire
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 12887 New Hampshire

Profile Details

NPI number 1306879804
LBN Legal business name Pace, Nicole Corinna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Dec 6th, 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 1306879804 NPPES
New Hampshire MEDICAID 30206079
New Hampshire MEDICAID 1012717

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