Provider Demographics
NPI:1427791540
Name:BANK, NICHOLAS
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:
Last Name:BANK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 MASON FARM RD # 7055
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7055
Mailing Address - Country:US
Mailing Address - Phone:919-996-9071
Mailing Address - Fax:919-966-6730
Practice Address - Street 1:130 MASON FARM RD # 7055
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7055
Practice Address - Country:US
Practice Address - Phone:919-996-9071
Practice Address - Fax:919-966-6730
Is Sole Proprietor?:No
Enumeration Date:2022-04-16
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program