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Contact Information

NICHOLAS B CORP, PTA
1901 HOAG ROAD
MOUNT VERNON, WA98273
 Phone: 360-814-2184
 Fax: 360-814-5515
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for NICHOLAS B CORP · (Male)

NPI Number 1588136188
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 12/20/2018
Last updated 12/20/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WA License # P160132794
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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