Patellis, Nicholas A

Patellis, Nicholas A is an individual health care provider with primary practice located at 382 Slaughter Rd , Madison AL 35758-2008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Patellis, Nicholas A can be contacted via phone (256) 428-1096.

Contact Information

Primary practice address
382 Slaughter Rd Madison AL 35758-2008
Fax: (256) 428-1098
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.30132 Alabama

Profile Details

NPI number 1366582835
LBN Legal business name Patellis, Nicholas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Aug 22nd, 2023 - about 2 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 1366582835 NPPES
Alabama MEDICAID PENDING

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