Bovkoon, Nicole Anne

Bovkoon, Nicole Anne is an individual health care provider with primary practice located at 1301 Russell Rd , Russellville AR 72802-4320. 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. Bovkoon, Nicole Anne can be contacted via phone (479) 967-2316.

Contact Information

Primary practice address
1301 Russell Rd Russellville AR 72802-4320
Phone: (479) 967-2316
Fax: (479) 967-3639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X O-T1144 Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR2456 Arkansas

Profile Details

NPI number 1174802987
LBN Legal business name Bovkoon, Nicole Anne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2011
Last updated Mar 3rd, 2023 - about 2 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 1174802987 NPPES
Arkansas MEDICAID 188618721

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