Brosseau, Nicholette

Brosseau, Nicholette is an sole proprietor health care provider with primary practice located at 1520 Sw 1St St , Wagoner OK 74467-4839. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is her primary health care specialty. Brosseau, Nicholette can be contacted via phone (918) 704-7825.

Contact Information

Primary practice address
1520 Sw 1St St Wagoner OK 74467-4839
Phone: (918) 704-7825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1720639263
LBN Legal business name Brosseau, Nicholette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2019
Last updated Nov 9th, 2020 - 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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