Vance, Nicholas C

Vance, Nicholas C is an individual health care provider with primary practice located at 1325 Locust Ave , Fairmont WV 26554-1435. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Vance, Nicholas C can be contacted via phone (304) 367-7100.

Contact Information

Primary practice address
1325 Locust Ave Fairmont WV 26554-1435
Phone: (304) 367-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Q48962 West Virginia

Profile Details

NPI number 1528007705
LBN Legal business name Vance, Nicholas C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Nov 29th, 2007 - about 17 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 1528007705 NPPES
West Virginia Other P00290270 RRGA
West Virginia Other P00290270 RRGA

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