Dickerson, Nicole
Dickerson, Nicole is an individual health care provider with primary practice located at 1345 Nw 15Th St , Lincoln City OR 97367-3327. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Dickerson, Nicole can be contacted via phone (541) 574-9570.Contact Information
Primary practice address
1345 Nw 15Th St
Lincoln City OR 97367-3327
Phone: (541) 574-9570
Fax: (541) 574-8857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 22-CRM-1313 | Oregon |
Profile Details
| NPI number | 1184407629 |
|---|---|
| LBN Legal business name | Dickerson, Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2023 |
| Last updated | Aug 17th, 2023 - about 2 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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