Ford, Nicole Renae

Ford, Nicole Renae is an individual health care provider with primary practice located at 6553 S 5135 W , West Jordan UT 84081-3817. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Ford, Nicole Renae can be contacted via phone (801) 980-4576.

Contact Information

Primary practice address
6553 S 5135 W West Jordan UT 84081-3817
Phone: (801) 980-4576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1639709355
LBN Legal business name Ford, Nicole Renae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2020
Last updated Jan 22nd, 2020 - about 5 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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