Croteau-Johnson, Nicole

Croteau-Johnson, Nicole is an individual health care provider with primary practice located at 411 Chestnut St , Wilmington NC 28401-4021. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Croteau-Johnson, Nicole can be contacted via phone (910) 251-0300.

Contact Information

Primary practice address
411 Chestnut St Wilmington NC 28401-4021
Fax: (910) 251-0310
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2375 North Carolina

Profile Details

NPI number 1396719712
LBN Legal business name Croteau-Johnson, Nicole
Credentials LPA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Feb 17th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396719712 NPPES
North Carolina Other 13575 BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 6107038 BLUE CROSS BLUE SHIELD

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