Fishback, Nicole C

Fishback, Nicole C is an individual health care provider with primary practice located at 305 E Rollins Rd , Round Lake Beach IL 60073-1331. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Fishback, Nicole C can be contacted via phone (847) 546-2900.

Contact Information

Primary practice address
305 E Rollins Rd Round Lake Beach IL 60073-1331
Phone: (847) 546-2900
Fax: (847) 546-6603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 020012488 Illinois

Profile Details

NPI number 1295997278
LBN Legal business name Fishback, Nicole C
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2008
Last updated Jun 30th, 2008 - 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.

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