Willette, Nickolas R
Willette, Nickolas R is an sole proprietor health care provider with primary practice located at 1502 Locust St , Fall River MA 02723-2719. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Willette, Nickolas R can be contacted via phone (774) 276-5703.Contact Information
Primary practice address
1502 Locust St
Fall River MA 02723-2719
Phone: (774) 276-5703
Fax: (888) 492-9389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 6426 | Massachusetts |
Profile Details
| NPI number | 1093104861 |
|---|---|
| LBN Legal business name | Willette, Nickolas R |
| Credentials | ABOC, NCLC, LDO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2015 |
| Last updated | Jan 27th, 2015 - about 9 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 | 1093104861 | NPPES |
| Other | 46-1793649 | TID |
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