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
Fax: (309) 779-7252
Website:

Health care specialties

SpecialtyCodeLicense #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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