Nichols, Kristyn Joy

Nichols, Kristyn Joy is an individual health care provider with primary practice located at 2206 Eastland Dr Ste 101 , Bloomington IL 61704-7742. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Nichols, Kristyn Joy can be contacted via phone (217) 714-7042.

Contact Information

Primary practice address
2206 Eastland Dr Ste 101 Bloomington IL 61704-7742
Phone: (217) 714-7042
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1396481974
LBN Legal business name Nichols, Kristyn Joy
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2022
Last updated Jan 6th, 2023 - about last year

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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