Smith, Nikisha Holly
Smith, Nikisha Holly is an individual health care provider with primary practice located at 11315 Pembrooke Sq Suite 110, Waldorf MD 20603-4806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Nikisha Holly can be contacted via phone (301) 645-6165.Contact Information
Primary practice address
11315 Pembrooke Sq Suite 110
Waldorf MD 20603-4806
Phone: (301) 645-6165
Fax: (301) 843-7232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0066277 | Maryland |
Profile Details
| NPI number | 1316147341 |
|---|---|
| LBN Legal business name | Smith, Nikisha Holly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2007 |
| Last updated | Jul 18th, 2007 - about 18 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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