Nichols, Lisa M

Nichols, Lisa M is an individual health care provider with primary practice located at 1212 N California St , Stockton CA 95202-1552. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Nichols, Lisa M can be contacted via phone (209) 468-0103.

Contact Information

Primary practice address
1212 N California St Stockton CA 95202-1552
Phone: (209) 468-0103
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 36474 California

Profile Details

NPI number 1083287536
LBN Legal business name Nichols, Lisa M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2021
Last updated Jul 22nd, 2021 - about 3 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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