Cavendish, Nicolene
Cavendish, Nicolene is an sole proprietor health care provider with primary practice located at 1137 Van Voorhis Rd Suite 28, Morgantown WV 26505-3453. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cavendish, Nicolene can be contacted via phone (304) 598-2971.Contact Information
Primary practice address
1137 Van Voorhis Rd Suite 28
Morgantown WV 26505-3453
Phone: (304) 598-2971
Fax: (304) 598-2975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 659 | West Virginia |
Profile Details
| NPI number | 1255357802 |
|---|---|
| LBN Legal business name | Cavendish, Nicolene |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Nov 14th, 2007 - about 19 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 | 1255357802 | NPPES |
| West Virginia | MEDICAID | 0164951000 |
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