Erickson Nichols, Kimberly K
Erickson Nichols, Kimberly K is an individual health care provider with primary practice located at 212 S 11Th Street , La Crosse WI 54601. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Erickson Nichols, Kimberly K can be contacted via phone (608) 791-9555.Contact Information
Primary practice address
212 S 11Th Street
La Crosse WI 54601
Phone: (608) 791-9555
Fax: (608) 791-9432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3578 | Wisconsin |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1352 | Wisconsin |
Profile Details
| NPI number | 1235179284 |
|---|---|
| LBN Legal business name | Erickson Nichols, Kimberly K |
| Credentials | MS APSW LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1235179284 | NPPES |
| Wisconsin | MEDICAID | 40993700 |
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