Psimos, Nicholas H.
Psimos, Nicholas H. is an sole proprietor health care provider with primary practice located at 1101 N Broadway , Rochester MN 55906-6841. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Psimos, Nicholas H. can be contacted via phone (507) 288-0126.Contact Information
Primary practice address
1101 N Broadway
Rochester MN 55906-6841
Phone: (507) 288-0126
Fax: (507) 529-0810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D10595 | Minnesota |
Profile Details
| NPI number | 1083681928 |
|---|---|
| LBN Legal business name | Psimos, Nicholas H. |
| Credentials | D.D.S, PLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Apr 21st, 2011 - about 13 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 | 1083681928 | NPPES |
| Iowa | MEDICAID | 0088575 | |
| Iowa | Other | 1B261PS | |
| Iowa | MEDICAID | 324222600 |
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