Congdon, Nicholette
Congdon, Nicholette is an sole proprietor health care provider with primary practice located at 208 E Knoles Drive , Flagstaff AZ 86011-0001. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Congdon, Nicholette can be contacted via phone (928) 523-5122.Contact Information
Primary practice address
208 E Knoles Drive
Flagstaff AZ 86011-0001
Phone: (928) 523-5122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X |
Profile Details
| NPI number | 1417560608 |
|---|---|
| LBN Legal business name | Congdon, Nicholette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2020 |
| Last updated | Aug 26th, 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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