Hollenback, Nicelee Fall
Hollenback, Nicelee Fall is an sole proprietor health care provider with primary practice located at 950 Danby Rd Ste 202A , Ithaca NY 14850-5714. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Hollenback, Nicelee Fall can be contacted via phone (607) 342-5728.Contact Information
Primary practice address
950 Danby Rd Ste 202A
Ithaca NY 14850-5714
Phone: (607) 342-5728
Fax: (607) 238-4687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 401500 | New York |
Profile Details
| NPI number | 1801172614 |
|---|---|
| LBN Legal business name | Hollenback, Nicelee Fall |
| Credentials | NPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2011 |
| Last updated | Sep 21st, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801172614 | NPPES |
| New York | Other | 401500 | NPP |
| New York | Other | 5344741 | NPP |
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