Roberts, Nicholas Winter

Roberts, Nicholas Winter is an sole proprietor health care provider with primary practice located at 249 Calle Villario , San Clemente CA 92672-2130. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Roberts, Nicholas Winter can be contacted via phone (949) 464-7715.

Contact Information

Primary practice address
249 Calle Villario San Clemente CA 92672-2130
Phone: (949) 464-7715
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 91023 California

Profile Details

NPI number 1619603164
LBN Legal business name Roberts, Nicholas Winter
Credentials MASSAGE THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2022
Last updated Jul 27th, 2022 - about 3 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 1619603164 NPPES
California Other 91023 CALIFORNIA MASSAGE THERAPY COUNCIL CERTIFICATION

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