Nickerson, Anne E.
Nickerson, Anne E. is an sole proprietor health care provider with primary practice located at 23030 State Route 73 , West Portsmouth OH 45663-8861. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nickerson, Anne E. can be contacted via phone (740) 858-1063.Contact Information
Primary practice address
23030 State Route 73
West Portsmouth OH 45663-8861
Phone: (740) 858-1063
Fax: (740) 858-9140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I0005226 | Ohio |
Profile Details
| NPI number | 1568425320 |
|---|---|
| LBN Legal business name | Nickerson, Anne E. |
| Credentials | L.I.S.W. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Apr 23rd, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568425320 | NPPES |
| Ohio | MEDICAID | 0188623 |
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