Reviello, Nickolas Alexander
Reviello, Nickolas Alexander is an individual health care provider with primary practice located at 334 Main St Ste 1 , Dickson City PA 18519-1668. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Reviello, Nickolas Alexander can be contacted via phone (570) 307-1767.Contact Information
Primary practice address
334 Main St Ste 1
Dickson City PA 18519-1668
Phone: (570) 307-1767
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA062756 | Pennsylvania |
Profile Details
| NPI number | 1821765272 |
|---|---|
| LBN Legal business name | Reviello, Nickolas Alexander |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2021 |
| Last updated | Aug 24th, 2021 - about 4 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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