Kelleher, Nicole C.
Kelleher, Nicole C. is an individual health care provider with primary practice located at 18460 Roscoe Blvd Fl 2 , Northridge CA 91325-4107. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Kelleher, Nicole C. can be contacted via phone (818) 885-5480.Contact Information
Primary practice address
18460 Roscoe Blvd Fl 2
Northridge CA 91325-4107
Phone: (818) 885-5480
Fax: (818) 993-1917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | A165046 | California |
Profile Details
| NPI number | 1972946747 |
|---|---|
| LBN Legal business name | Kelleher, Nicole C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2013 |
| Last updated | Apr 1st, 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.
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