Nicholson, Blake Baker

Nicholson, Blake Baker is an individual health care provider with primary practice located at 928 12Th St , Greeley CO 80631-4024. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nicholson, Blake Baker can be contacted via phone (970) 336-4910.

Contact Information

Primary practice address
928 12Th St Greeley CO 80631-4024
Fax: (970) 336-5000
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 992906 Colorado

Profile Details

NPI number 1891769261
LBN Legal business name Nicholson, Blake Baker
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 8th, 2007 - 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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