Nichols, Rosemary B
Nichols, Rosemary B is an sole proprietor health care provider with primary practice located at 12247 Ridgefair Pl , Dallas TX 75234-7805. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Nichols, Rosemary B can be contacted via phone (972) 241-8697.Contact Information
Primary practice address
12247 Ridgefair Pl
Dallas TX 75234-7805
Phone: (972) 241-8697
Fax: (972) 241-8697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1628 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 414379 | Texas |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2292 | Texas |
Profile Details
| NPI number | 1336134410 |
|---|---|
| LBN Legal business name | Nichols, Rosemary B |
| Credentials | MSN, PMH/CNS, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Aug 28th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336134410 | NPPES |
| Texas | Other | 00000076B | BLUECROSS/BLUESHIELD |
| Texas | Other | 752363246 | BLUECROSS/BLUESHIELD |
| Texas | Other | 9218638 | BLUECROSS/BLUESHIELD |
| Texas | Other | 226945 | BLUECROSS/BLUESHIELD |
| Texas | Other | 752363246 | BLUECROSS/BLUESHIELD |
| Texas | Other | 0050245 | BLUECROSS/BLUESHIELD |
| Texas | MEDICAID | 062536001 | BLUECROSS/BLUESHIELD |
| Texas | Other | 116176523 | BLUECROSS/BLUESHIELD |
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