Abbott, Nicole

Abbott, Nicole is an individual health care provider with primary practice located at 9702 Stonestreet Rd #110, Louisville KY 40272-6808. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Abbott, Nicole can be contacted via phone (502) 589-8600.

Contact Information

Primary practice address
9702 Stonestreet Rd #110 Louisville KY 40272-6808
Phone: (502) 589-8600
Fax: (502) 589-8771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3662 Kentucky

Profile Details

NPI number 1043587686
LBN Legal business name Abbott, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2011
Last updated May 6th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043587686 NPPES
Kentucky MEDICAID 7100290650

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