Nickens, Theresa Louise

Nickens, Theresa Louise is an individual health care provider with primary practice located at 5800 Marshall Ave , Newport News VA 23605-2420. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Nickens, Theresa Louise can be contacted via phone (757) 247-2567.

Contact Information

Primary practice address
5800 Marshall Ave Newport News VA 23605-2420
Phone: (757) 247-2567
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 0813000921 Virginia

Profile Details

NPI number 1134626732
LBN Legal business name Nickens, Theresa Louise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2018
Last updated Apr 10th, 2018 - about 7 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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