Dickens, Nicole
Dickens, Nicole is an individual health care provider with primary practice located at 114 Representative Row Suite B, Lafayette LA 70508-3878. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Dickens, Nicole can be contacted via phone (337) 769-7001.Contact Information
Primary practice address
114 Representative Row Suite B
Lafayette LA 70508-3878
Phone: (337) 769-7001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 13406R | Louisiana |
Profile Details
| NPI number | 1376522516 |
|---|---|
| LBN Legal business name | Dickens, Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2006 |
| Last updated | Jun 23rd, 2015 - about 10 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 | 1376522516 | NPPES |
| Louisiana | MEDICAID | 1564079 |
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