Pearson, Nicholas Travis

Pearson, Nicholas Travis is an individual health care provider with primary practice located at 2336 Goddard Parkway , Salisbury MD 21801. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Pearson, Nicholas Travis can be contacted via phone (410) 334-6961.

Contact Information

Primary practice address
2336 Goddard Parkway Salisbury MD 21801
Fax: (410) 334-6960
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1306924717
LBN Legal business name Pearson, Nicholas Travis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1306924717 NPPES
Other 517251 UHC MAMSI GROUP #
Other R968 UHC MAMSI GROUP #
Other LM49EA UHC MAMSI GROUP #

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