Norris, Nicole Edith
Norris, Nicole Edith is an individual health care provider with primary practice located at 600 E 1St St , Spring Valley IL 61362-1512. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Norris, Nicole Edith can be contacted via phone (815) 663-5981.Contact Information
Primary practice address
600 E 1St St
Spring Valley IL 61362-1512
Phone: (815) 663-5981
Fax: (815) 663-5982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-111100 | Illinois |
Profile Details
| NPI number | 1689679599 |
|---|---|
| LBN Legal business name | Norris, Nicole Edith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Apr 15th, 2013 - about 11 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 | 1689679599 | NPPES |
| Illinois | MEDICAID | 036111100 |
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