Hensley, Nichole Sue

Hensley, Nichole Sue is an individual health care provider with primary practice located at 1211 Vine St , West Des Moines IA 50265-4472. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Hensley, Nichole Sue can be contacted via phone (515) 414-8049.

Contact Information

Primary practice address
1211 Vine St West Des Moines IA 50265-4472
Phone: (515) 414-8049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1184137192
LBN Legal business name Hensley, Nichole Sue
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2017
Last updated Nov 16th, 2017 - about 9 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 1184137192 NPPES
Iowa MEDICAID T16077

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