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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 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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