Larsen, Nicolette

Larsen, Nicolette is an individual health care provider with primary practice located at 255 Revere Dr , Northbrook IL 60062-1564. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Larsen, Nicolette can be contacted via phone (847) 412-4350.

Contact Information

Primary practice address
255 Revere Dr Northbrook IL 60062-1564
Phone: (847) 412-4350
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1639493794
LBN Legal business name Larsen, Nicolette
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2010
Last updated Mar 18th, 2010 - about 15 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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