Boze, Nikki T
Boze, Nikki T is an sole proprietor health care provider with primary practice located at 118 Westhaven School Rd , Belleville IL 62220-3264. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Boze, Nikki T can be contacted via phone (618) 257-9201.Contact Information
Primary practice address
118 Westhaven School Rd
Belleville IL 62220-3264
Phone: (618) 257-9201
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | 041328367 | Illinois |
Profile Details
| NPI number | 1164935193 |
|---|---|
| LBN Legal business name | Boze, Nikki T |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2017 |
| Last updated | Nov 13th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164935193 | NPPES |
| Illinois | MEDICAID | 041328367 |
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