Michael Wayne Niccole in Newport Beach - Specialist
Michael Wayne Niccole - NPI 1801010475
Michael Wayne Niccole is a Specialist in Newport Beach, California. Michael Wayne Niccole practices all healthcare services and medical treatments related to Specialist. The NPI Number for Michael Wayne Niccole is 1801010475. The last update date is 2007-07-08.
Michael Wayne Niccole's current location address is 1101 Bayside Drive, Newport Beach, California. You can contact this provider via phone number 9497186900 and fax number 9497189367. The mailing address for Michael Wayne Niccole is 1101 Bayside Drive, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Wayne Niccole |
|---|---|
| Address | 1101 Bayside Drive, Newport Beach, California |
| Phone Number | 9497186900 |
| Fax Number | 9497189367 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1801010475 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1101 Bayside Drive |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 92625 |
| Phone Number | 9497186900 |
| Fax Number | 9497189367 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A30397 |
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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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What is the unique 10-digit identification code issued to Michael Wayne Niccole by the Centers for Medicare & Medicaid Services?
The Michael Wayne Niccole has been assigned the NPI (National Provider Identifier) 1801010475 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Michael Wayne Niccole's physical address?
The Michael Wayne Niccole is physically located at 1101 Bayside Drive, in the city of Newport Beach, CA, with the postal code 92625.
What is Michael Wayne Niccole's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Wayne Niccole's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When did the Michael Wayne Niccole receive its 1801010475?
The Michael Wayne Niccole was issued its 1801010475 on 2007-04-12, which is the date when the organization was assigned this unique identifier.
When was the Michael Wayne Niccole's information last updated?
The Michael Wayne Niccole's information was last updated on 2007-07-08.
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