Staub, Nicholas

Staub, Nicholas is an individual health care provider with primary practice located at 6625 Lyndale Ave S Ste 105 , Richfield MN 55423-2673. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Staub, Nicholas can be contacted via phone (612) 200-8029.

Contact Information

Primary practice address
6625 Lyndale Ave S Ste 105 Richfield MN 55423-2673
Phone: (612) 200-8029
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1091 Minnesota

Profile Details

NPI number 1790274066
LBN Legal business name Staub, Nicholas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2018
Last updated Aug 23rd, 2021 - 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.

Request for update

Popular Providers