Timmons, Nikol Deem
Timmons, Nikol Deem is an sole proprietor health care provider with primary practice located at 1207 Crews Rd Ste E , Matthews NC 28105-7582. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Timmons, Nikol Deem can be contacted via phone (704) 841-8162.Contact Information
Primary practice address
1207 Crews Rd Ste E
Matthews NC 28105-7582
Phone: (704) 841-8162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 101627 | North Carolina |
Profile Details
| NPI number | 1194801001 |
|---|---|
| LBN Legal business name | Timmons, Nikol Deem |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Dec 1st, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194801001 | NPPES |
| North Carolina | MEDICAID | 8101457 |
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