Lavalley, Nichole

Lavalley, Nichole is an sole proprietor health care provider with primary practice located at 1461 Moosehead Trl , Jackson ME 04921. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Lavalley, Nichole can be contacted via phone (207) 907-2631.

Contact Information

Primary practice address
1461 Moosehead Trl Jackson ME 04921
Phone: (207) 907-2631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X ALLS 2297 Maine

Profile Details

NPI number 1821138017
LBN Legal business name Lavalley, Nichole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Oct 30th, 2019 - about 5 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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