Harris, Nichole Marie

Harris, Nichole Marie is an sole proprietor health care provider with primary practice located at 1204 Briarcliff Dr , Mahomet IL 61853-9552. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as her primary health care specialty. Harris, Nichole Marie can be contacted via phone (217) 766-4537.

Contact Information

Primary practice address
1204 Briarcliff Dr Mahomet IL 61853-9552
Phone: (217) 766-4537
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X

Profile Details

NPI number 1154659019
LBN Legal business name Harris, Nichole Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2009
Last updated Dec 3rd, 2009 - about 15 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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