Pinnock, Nahstajia Nicole Joy

Pinnock, Nahstajia Nicole Joy is an sole proprietor health care provider with primary practice located at 611 West Park Street , Champaign IL 61822. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Pinnock, Nahstajia Nicole Joy can be contacted via phone (217) 363-6792.

Contact Information

Primary practice address
611 West Park Street Champaign IL 61822
Phone: (217) 363-6792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 125.074731 Illinois

Profile Details

NPI number 1871027151
LBN Legal business name Pinnock, Nahstajia Nicole Joy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2017
Last updated Jul 9th, 2019 - about 6 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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