Mary-Beth Nickel is a Veterinarian in Newport, Oregon. Mary-Beth Nickel practices all healthcare services and medical treatments related to Veterinarian. The NPI Number for Mary-Beth Nickel is 1588855910. The last update date is 2019-08-09.
Mary-Beth Nickel's current location address is 1010 Sw Coast Hwy Ste 306, Newport, Oregon. You can contact this provider via phone number 5412648808 and fax number 5412648808. The mailing address for Mary-Beth Nickel is 1010 Sw Coast Hwy Ste 306, Newport, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary-Beth Nickel |
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Address | 1010 Sw Coast Hwy Ste 306, Newport, Oregon |
Phone Number | 5412648808 |
Fax Number | 5412648808 |
Sole Proprietor | N |
Credentials | L.P.C, M.A |
NPI Number Detail
NPI Number | 1588855910 |
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Provider Enumeration Date | 2007-08-09 |
Last Updated Date | 2019-08-09 |
Provider Mailing Address Detail
Address | 1010 Sw Coast Hwy Ste 306 |
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City | Newport |
State | Oregon (OR) |
Post Code | 973655241 |
Phone Number | 5412648808 |
Fax Number | 5412648808 |
Provider's Primary Taxonomy Detail
Speciality | Veterinarian |
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Taxonomy | 174M00000X |
Licence No | 4404 |
Definition: A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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123190 | OR | -- |
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What is the unique 10-digit identification code assigned to Mary-Beth Nickel by the Centers for Medicare & Medicaid Services?
The Mary-Beth Nickel has been issued the NPI (National Provider Identifier) 1588855910, 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 Mary-Beth Nickel?
The Mary-Beth Nickel is situated at 1010 Sw Coast Hwy Ste 306, in the city of Newport, state of OR, with the zip code 973655241.
What is Mary-Beth Nickel's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary-Beth Nickel is Veterinarian, and the taxonomy code that classifies this field of practice is 174M00000X.
On what date did Mary-Beth Nickel receive its 1588855910 assignment from the Centers for Medicare & Medicaid Services?
The Mary-Beth Nickel was assigned its 1588855910 on 2007-08-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mary-Beth Nickel's details last updated?
The information pertaining to the Mary-Beth Nickel, including its address, specialty, and other details, was most recently updated on 2019-08-09.