Nickell, Nicole

Nickell, Nicole is an sole proprietor health care provider with primary practice located at 6855 W Fairview Ave , Boise ID 83704-8046. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Nickell, Nicole can be contacted via phone (208) 323-8888.

Contact Information

Primary practice address
6855 W Fairview Ave Boise ID 83704-8046
Fax: (208) 323-8889
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OTL-1014 Idaho

Profile Details

NPI number 1760788384
LBN Legal business name Nickell, Nicole
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2011
Last updated Jan 28th, 2011 - about 15 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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