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Contact Information

NICHOLAS GARCIA
272 MEDICAL LOOP
SUITE C
ROSEBURG, OR97471
 Phone: 541-440-3532
 Fax: 541-440-3554
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for NICHOLAS GARCIA · (Male)

NPI Number 1164786174
Status Active
Credentials
Entity Individual
Enumeration date 06/25/2012
Last updated 05/07/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • OR Medicaid 500663569
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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