Bush, Nickole
Bush, Nickole is an individual health care provider with primary practice located at 101 Quartz Dr Ste 103A , Villa Rica GA 30180-3201. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bush, Nickole can be contacted via phone (678) 471-6925.Contact Information
Primary practice address
101 Quartz Dr Ste 103A
Villa Rica GA 30180-3201
Phone: (678) 471-6925
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | APC006745 | Georgia |
Profile Details
| NPI number | 1366088379 |
|---|---|
| LBN Legal business name | Bush, Nickole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2019 |
| Last updated | Nov 25th, 2019 - about 6 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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