Eshom, Nicole
Eshom, Nicole is an sole proprietor health care provider with primary practice located at 860 E Ralph Hall Pkwy Ste 46, Rockwall TX 75032-6877. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Eshom, Nicole can be contacted via phone (214) 592-2234.Contact Information
Primary practice address
860 E Ralph Hall Pkwy Ste 46
Rockwall TX 75032-6877
Phone: (214) 592-2234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT112934 | Texas |
Profile Details
| NPI number | 1760803191 |
|---|---|
| LBN Legal business name | Eshom, Nicole |
| Credentials | L.C.M. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2014 |
| Last updated | Jan 3rd, 2014 - about 11 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 | 1760803191 | NPPES |
| Texas | Other | MT112934 | MASSAGE THERAPY LICENSE |
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