NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

NICKLAS LIDSTROM
925 ONE LANDON LOOP
CONWAY, SC29528
 Phone: 843-349-2825
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for NICKLAS LIDSTROM · (Male)

NPI # 1871369603
Status Active
Credentials
Entity Individual
Enumeration date 12/04/2023
Last updated 12/04/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # AT03472
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.

Reviews for NICKLAS LIDSTROM

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for NICKLAS LIDSTROM
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Respiratory & Developmental Providers
WILLIAM W SEIFERT
100 CHANTICLEER DR E
CONWAY, SC
JEFFREY POUNDS, ATC
107 TOM TROUT DR. WB 106
CONWAY, SC
MEGHAN CAMPBELL, ATC
935 ONE LANDON LOOP
CONWAY, SC
JAMES W BERRY, ATC, NREMT
2301 CHURCH STREET
CONWAY, SC
ANDRESSA O MARTINS, ATC
935 ONE LANDON LOOP
CONWAY, SC
STEVEN SILVERSPARRE, MS, SCAT, ATC
935 ONE LANDON LOOP
CONWAY, SC
ANDREW LOWE, MAT, ATC, LAT
925 ONE LANDON LOOP
CONWAY, SC
URIAH SNOBERGER, MS, ATC
935 ONE LANDON LOOP
CONWAY, SC
CRISTA COLANERI, ATC
1284 NEPTUNO CT SW
OCEAN ISLE BEACH, NC
ALEXIS DROSE
1418 DERRICK COURT
MARION, SC

  View all Respiratory & Developmental Providers
v2.403