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NPI Code Detail

MEDICARE: NICOLAS ERWIN TOLKMIT

MEDICARE: NICOLAS ERWIN TOLKMIT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1194394536
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLAS ERWIN TOLKMIT
Provider Business Mailing Address
First Line : 6530 ANNIE OAKLEY DR APT 712
Second Line :
City : HENDERSON
State : NV
Zip : 89014-2169
Country : US
Telephone Number : 323-919-6741
Fax Number :
Provider Business Practice Location Address
First Line : 8390 W WINDMILL LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-4420
Country : US
Telephone Number : 702-485-1310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2021
Last Update Date : 06/21/2021

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Directions to “ NICOLAS ERWIN TOLKMIT ” Practice Location

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