Blevins, Nicole L

Blevins, Nicole L is an individual health care provider with primary practice located at 353 Bogle St Suite 203, Somerset KY 42503-2888. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Blevins, Nicole L can be contacted via phone (606) 679-1761.

Contact Information

Primary practice address
353 Bogle St Suite 203 Somerset KY 42503-2888
Phone: (606) 679-1761
Fax: (606) 678-0971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X KYR3456 Kentucky

Profile Details

NPI number 1124051438
LBN Legal business name Blevins, Nicole L
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jul 9th, 2007 - about 18 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 1124051438 NPPES
Kentucky Other 000000371917 BCBS PROVIDER NUMBER

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