Riley, Nicolas

Riley, Nicolas is an individual health care provider with primary practice located at 5501 Marvin Shields Blvd. , Gulfport MS 39501-5007. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Riley, Nicolas can be contacted via phone (228) 822-5409.

Contact Information

Primary practice address
5501 Marvin Shields Blvd. Gulfport MS 39501-5007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1528515046
LBN Legal business name Riley, Nicolas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 8 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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