Hanson, Nicole

Hanson, Nicole is an individual health care provider with primary practice located at 9532 E 16 Frontage Rd Ste. 100, Onalaska WI 54650-6739. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Hanson, Nicole can be contacted via phone (608) 783-0506.

Contact Information

Primary practice address
9532 E 16 Frontage Rd Ste. 100 Onalaska WI 54650-6739
Phone: (608) 783-0506
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 22525930 Wisconsin

Profile Details

NPI number 1801340211
LBN Legal business name Hanson, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2016
Last updated Aug 15th, 2016 - about 8 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 1801340211 NPPES
Wisconsin MEDICAID 1003150004

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