Gebadlo, Nicole

Gebadlo, Nicole is an individual health care provider with primary practice located at 2505 E Jefferson Blvd , South Bend IN 46615-2635. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Gebadlo, Nicole can be contacted via phone (574) 289-4831.

Contact Information

Primary practice address
2505 E Jefferson Blvd South Bend IN 46615-2635
Phone: (574) 289-4831
Fax: (574) 234-2075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X

Profile Details

NPI number 1134302987
LBN Legal business name Gebadlo, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2007
Last updated Dec 14th, 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.

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