Phillips, Nichole

Phillips, Nichole is an individual health care provider with primary practice located at 1209 W Tokay St Ste 5 , Lodi CA 95240-3845. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Phillips, Nichole can be contacted via phone (209) 331-2077.

Contact Information

Primary practice address
1209 W Tokay St Ste 5 Lodi CA 95240-3845
Phone: (209) 331-2077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1780351098
LBN Legal business name Phillips, Nichole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2021
Last updated Dec 20th, 2023 - about 2 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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