Coughlin, Nicole Catherine

Coughlin, Nicole Catherine is an sole proprietor health care provider with primary practice located at 28 Breezeway Ct , Ponte Vedra FL 32081-8494. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Coughlin, Nicole Catherine can be contacted via phone (631) 766-2743.

Contact Information

Primary practice address
28 Breezeway Ct Ponte Vedra FL 32081-8494
Phone: (631) 766-2743
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 723405131 New York
Agencies / Early Intervention Provider Agency 252Y00000X 723406131 New York

Profile Details

NPI number 1255763314
LBN Legal business name Coughlin, Nicole Catherine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2013
Last updated Oct 5th, 2018 - about 7 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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