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

Primary practice address
37 Eagle Way West Chazy NY 12992-2562
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 4 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 1164018701 NPPES
New York Other 902037141 NEW YORK STATE CERTIFICATION

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