Mitchell, Nichole
Mitchell, Nichole is an individual health care provider with primary practice located at 37 Eagle Way , West Chazy NY 12992-2562. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Mitchell, Nichole can be contacted via phone (518) 563-8321.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X |
Profile Details
| NPI number | 1164018701 |
|---|---|
| LBN Legal business name | Mitchell, Nichole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 17th, 2020 |
| Last updated | Dec 17th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164018701 | NPPES |
| New York | Other | 902037141 | NEW YORK STATE CERTIFICATION |
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