Gleeson, Nicole M

Gleeson, Nicole M is an sole proprietor health care provider with primary practice located at 330 Pioneer Ave , Montesano WA 98563. She recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as her primary health care specialty. Gleeson, Nicole M can be contacted via phone (360) 580-1667.

Contact Information

Primary practice address
330 Pioneer Ave Montesano WA 98563
Phone: (360) 580-1667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X MA60112062 Washington

Profile Details

NPI number 1487986915
LBN Legal business name Gleeson, Nicole M
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2010
Last updated Apr 27th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487986915 NPPES
Washington Other MA60112062 WA STATE MASSAGE LICENSE NUMBER

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