Shipp, Nicole C

Shipp, Nicole C is an individual health care provider with primary practice located at 331 Maine St., Suite 1 , Brunswick ME 04011-3359. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Shipp, Nicole C can be contacted via phone (207) 725-2161.

Contact Information

Primary practice address
331 Maine St., Suite 1 Brunswick ME 04011-3359
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPT787 Maine

Profile Details

NPI number 1346320074
LBN Legal business name Shipp, Nicole C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Aug 7th, 2013 - about 11 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 1346320074 NPPES
Maine MEDICAID 337660099

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