Nelson, Nicole Marie
Nelson, Nicole Marie is an individual health care provider with primary practice located at 4160 86Th Ave Se , Mercer Island WA 98040-4121. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Nelson, Nicole Marie can be contacted via phone (509) 460-0821.Contact Information
Primary practice address
4160 86Th Ave Se
Mercer Island WA 98040-4121
Phone: (509) 460-0821
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 60027033 | Washington |
Profile Details
| NPI number | 1972765816 |
|---|---|
| LBN Legal business name | Nelson, Nicole Marie |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2008 |
| Last updated | Dec 17th, 2012 - about 12 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 | 1972765816 | NPPES |
| Washington | MEDICAID | 7098452 |
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