WILLIAM F NICLAUS PA
NPI 1780411066
Physician Assistant - Medical in Havertown, PA
Active since September 19, 2024
About William F Niclaus Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM F NICLAUS PA (NPI 1780411066) is an individual medical provider in Havertown, Pennsylvania, licensed in Pennsylvania (MA001955L) and active in the NPI registry since September 2024.
NPPES Registry Identity
NPI1780411066
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameWILLIAM F NICLAUSCredential: PA
Location Address229 RODMOR RDHavertown, PA 19083-4924
Mailing Address229 Rodmor RdHavertown, PA 19083-4924 · (610) 853-9654
Phone(610) 853-9654
Sole ProprietorNo
Enumeration DateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1780411066 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA001955L
229 RODMOR RD, Havertown, PA 19083
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780411066, enumerated as an "individual" on September 19, 2024.
The provider is located at 229 RODMOR RD HAVERTOWN, PA 19083 and the phone number is (610) 853-9654.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
