Nichols, Sandra Eileen
Nichols, Sandra Eileen is an sole proprietor health care provider with primary practice located at 106 19Th Ave Suite 101, Moline IL 61265-3700. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nichols, Sandra Eileen can be contacted via phone (309) 779-7600.Contact Information
Primary practice address
106 19Th Ave Suite 101
Moline IL 61265-3700
Phone: (309) 779-7600
Fax: (309) 779-7252
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149004883 | Illinois |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 05255 | Iowa |
Profile Details
NPI number | 1629252739 |
---|---|
LBN Legal business name | Nichols, Sandra Eileen |
Credentials | MSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 26th, 2007 |
Last updated | Jun 15th, 2009 - about 16 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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