Nichols, Laura Renae

Nichols, Laura Renae is an sole proprietor health care provider with primary practice located at 52 Brightling Ln , Newnan GA 30265-5626. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Nichols, Laura Renae can be contacted via phone (770) 298-5892.

Contact Information

Primary practice address
52 Brightling Ln Newnan GA 30265-5626
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X YS001970 Georgia

Profile Details

NPI number 1457402836
LBN Legal business name Nichols, Laura Renae
Credentials MS - CCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2007
Last updated Jul 9th, 2007 - about 18 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 1457402836 NPPES
Georgia Other 342657 WELLCARE

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