person
Edward C Nickerson, RPT
Specialist in Sacramento, California
NPI 1992820518

Edward C Nickerson is a Specialist based in Gold River, CA. Edward C Nickerson practices in Sacramento, CA and has the professional credentials of RPT. The NPI Number for Edward C Nickerson is 1992820518 and holds a License No. PT12609 (California).

The current practice location address for Edward C Nickerson is 2801 K St, Sacramento, CA and can be reached out via phone at 916-353-2270 and via fax at 916-353-2279.

Location: 2801 K St, Sacramento, CA, 95670-4431
person
Provider Profile Details
NPI Number
1992820518
Provider Name
Edward C Nickerson
Credential
RPT
Provider Entity Type
Individual
Gender
Male
Address
2801 K St, Sacramento, CA, 95670-4431
Phone Number
916-353-2270
Fax Number
916-353-2279
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PT90581 01 CA BLUE SHIELD
12300100 01 CA USDL
PT12609 01 CA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2801 K St
City
State
Zip
95816-5120
Phone Number
916-353-2270
Fax Number
916-353-2279
person
Provider Business Mailing Address Details
Address
2801 K St
City
State
Zip
95816-5120
Phone Number
916-353-2270
Fax Number
916-353-2279
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
PT12609 (California)
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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