Nicklaus, Christine Marie
Nicklaus, Christine Marie is an sole proprietor health care provider with primary practice located at 1557 Cleveland Ave , Marinette WI 54143-3920. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Nicklaus, Christine Marie can be contacted via phone (715) 732-6868.Contact Information
Primary practice address
1557 Cleveland Ave
Marinette WI 54143-3920
Phone: (715) 732-6868
Fax: (715) 732-6867
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2992226 | Wisconsin |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6937125 | Wisconsin |
Profile Details
| NPI number | 1386188712 |
|---|---|
| LBN Legal business name | Nicklaus, Christine Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 3rd, 2016 |
| Last updated | Oct 6th, 2020 - about 4 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 | 1386188712 | NPPES |
| Other | 1033659271 | ORGANIZATION NPI |
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