Nicholas, Judy M.

Nicholas, Judy M. is an individual health care provider with primary practice located at 1608 Lake St , Kalamazoo MI 49001-3170. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Nicholas, Judy M. can be contacted via phone (269) 344-0202.

Contact Information

Primary practice address
1608 Lake St Kalamazoo MI 49001-3170
Phone: (269) 344-0202
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801003447 Michigan

Profile Details

NPI number 1124085162
LBN Legal business name Nicholas, Judy M.
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124085162 NPPES
Michigan MEDICAID 6130497

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