Nichols, Johnnetta Matrice
Nichols, Johnnetta Matrice is an sole proprietor health care provider with primary practice located at 8209 N. Main St. , Houston TX 77022. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Nichols, Johnnetta Matrice can be contacted via phone (713) 692-1414.Contact Information
Primary practice address
8209 N. Main St.
Houston TX 77022
Phone: (713) 692-1414
Fax: (713) 692-2157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | ||
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 102737 | Texas |
Profile Details
| NPI number | 1861636896 |
|---|---|
| LBN Legal business name | Nichols, Johnnetta Matrice |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2009 |
| Last updated | Apr 26th, 2024 - about 8 months 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 | 1861636896 | NPPES |
| Texas | MEDICAID | F500193420 | |
| Texas | MEDICAID | 1861636896 | |
| Texas | MEDICAID | 205828380 |
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