Byrum, Nicole
Byrum, Nicole is an sole proprietor health care provider with primary practice located at 100 Saw Mill Rd , Lafayette IN 47905-5592. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Byrum, Nicole can be contacted via phone (765) 742-4848.Contact Information
Primary practice address
100 Saw Mill Rd
Lafayette IN 47905-5592
Phone: (765) 742-4848
Fax: (765) 477-9905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1851419758 |
|---|---|
| LBN Legal business name | Byrum, Nicole |
| Credentials | M.MFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851419758 | NPPES |
| Indiana | MEDICAID | 100445230A |
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