Harris, Nicole Jane
Harris, Nicole Jane is an individual health care provider with primary practice located at 7343 Lake St , River Forest IL 60305-2206. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Harris, Nicole Jane can be contacted via phone (708) 231-8980.Contact Information
Primary practice address
7343 Lake St
River Forest IL 60305-2206
Phone: (708) 231-8980
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209020788 | Illinois |
Profile Details
NPI number | 1730729336 |
---|---|
LBN Legal business name | Harris, Nicole Jane |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 10th, 2020 |
Last updated | Feb 17th, 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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