Nichols, Bruce Michael
Nichols, Bruce Michael is an sole proprietor health care provider with primary practice located at 1405 Lilac Dr N Ste 150, Golden Valley MN 55422-4535. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Nichols, Bruce Michael can be contacted via phone (763) 544-8194.Contact Information
Primary practice address
1405 Lilac Dr N Ste 150
Golden Valley MN 55422-4535
Phone: (763) 544-8194
Fax: (763) 544-4413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 13201 | Minnesota |
Profile Details
| NPI number | 1790842086 |
|---|---|
| LBN Legal business name | Nichols, Bruce Michael |
| Credentials | M.A., LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| 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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