Moberly, Nicole Renee
Moberly, Nicole Renee is an sole proprietor health care provider with primary practice located at 5060 Cascade Rd Se , Grand Rapids MI 49546-3808. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Moberly, Nicole Renee can be contacted via phone (616) 610-1097.Contact Information
Primary practice address
5060 Cascade Rd Se
Grand Rapids MI 49546-3808
Phone: (616) 610-1097
Fax: (616) 940-4594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X |
Profile Details
| NPI number | 1780858365 |
|---|---|
| LBN Legal business name | Moberly, Nicole Renee |
| Credentials | Medical Technologist (MT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2008 |
| Last updated | Apr 15th, 2008 - about 17 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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