Kerner, Nicole

Kerner, Nicole is an sole proprietor health care provider with primary practice located at 455 Meadow Drive , North Tonawanda NY 14120. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Kerner, Nicole can be contacted via phone (716) 807-3831.

Contact Information

Primary practice address
455 Meadow Drive North Tonawanda NY 14120
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 066309 New York

Profile Details

NPI number 1073871299
LBN Legal business name Kerner, Nicole
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2012
Last updated Apr 25th, 2012 - about 12 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 1073871299 NPPES
New York MEDICAID 01377162

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