Abbott, Nicole

Abbott, Nicole is an individual health care provider with primary practice located at 237 26Th St , Ogden UT 84401-3105. 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 (801) 625-3737.

Contact Information

Primary practice address
237 26Th St Ogden UT 84401-3105
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8034655-3502 Utah

Profile Details

NPI number 1538579461
LBN Legal business name Abbott, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2014
Last updated Apr 30th, 2014 - about 11 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 1538579461 NPPES
Utah Other 260022408 RAILROAD MEDICARE
Utah MEDICAID 876000308007 RAILROAD MEDICARE

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