Berube, Nicole Marie

Berube, Nicole Marie is an individual health care provider with primary practice located at 3511 Broadrun Dr , Fairfax VA 22033-2164. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Berube, Nicole Marie can be contacted via phone (703) 346-5200.

Contact Information

Primary practice address
3511 Broadrun Dr Fairfax VA 22033-2164
Phone: (703) 346-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1063075588
LBN Legal business name Berube, Nicole Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2019
Last updated Apr 19th, 2019 - about 5 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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