Sierra, Nancy

Sierra, Nancy is an sole proprietor health care provider with primary practice located at 268 Dr Martin Luther King Jr Blvd , Newark NJ 07102-2011. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Sierra, Nancy can be contacted via phone (973) 877-5000.

Contact Information

Primary practice address
268 Dr Martin Luther King Jr Blvd Newark NJ 07102-2011
Phone: (973) 877-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA05590000 New Jersey
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25MA05590000 New Jersey

Profile Details

NPI number 1083609846
LBN Legal business name Sierra, Nancy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2005
Last updated Jul 28th, 2009 - about 15 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 1083609846 NPPES
New Jersey Other 17960 UHP NON PAR #
New Jersey Other 60039170-NON PAR UHP NON PAR #
New Jersey MEDICAID 1167901 UHP NON PAR #
New Jersey Other P00601224 UHP NON PAR #

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