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Contact Information

EDWARD P NIKICICZ, MD
801 S ADAMS ST
SRMC, LAB
PETERSBURG, VA23803-5149
 Phone: 804-862-5028
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for EDWARD P NIKICICZ · (Male)

NPI Number 1639267040
Status Active
Credentials MD
Entity Individual
Enumeration date 10/11/2006
Last updated 07/02/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # VA0101047885
  • VA Medicaid 6600727
  • VA Other 086358 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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