Edward C Nickerson in Gold River - Specialist
Edward C Nickerson - NPI 1992820518
Edward C Nickerson is a Specialist in Gold River, California. Edward C Nickerson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Edward C Nickerson is 1992820518. The last update date is 2007-07-09.
Edward C Nickerson's current location address is 11251 Coloma Rd, Gold River, California. You can contact this provider via phone number 9163532270 and fax number 9163532279. The mailing address for Edward C Nickerson is 11251 Coloma Rd, Gold River, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward C Nickerson |
|---|---|
| Address | 11251 Coloma Rd, Gold River, California |
| Phone Number | 9163532270 |
| Fax Number | 9163532279 |
| Sole Proprietor | N |
| Credentials | RPT |
NPI Number Detail
| NPI Number | 1992820518 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 11251 Coloma Rd |
|---|---|
| City | Gold River |
| State | California (CA) |
| Post Code | 956704431 |
| Phone Number | 9163532270 |
| Fax Number | 9163532279 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | PT12609 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PT90581 | CA | BLUE SHIELD | |
| 12300100 | CA | USDL | |
| PT12609 | CA | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Edward C Nickerson by the Centers for Medicare & Medicaid Services?
The Edward C Nickerson has been issued the NPI (National Provider Identifier) 1992820518, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Edward C Nickerson?
The Edward C Nickerson is situated at 11251 Coloma Rd, in the city of Gold River, state of CA, with the zip code 956704431.
What is Edward C Nickerson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Edward C Nickerson is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1992820518 to Edward C Nickerson?
The Centers for Medicare & Medicaid Services assigned the 1992820518 to Edward C Nickerson on 2007-03-20.
As of what date were the Edward C Nickerson's details last updated?
The information pertaining to the Edward C Nickerson, including its address, specialty, and other details, was most recently updated on 2007-07-09.