Polen, Nicole Catherine
Polen, Nicole Catherine is an individual health care provider with primary practice located at 5030 El Camino Ave , Carmichael CA 95608-4650. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Polen, Nicole Catherine can be contacted via phone (916) 609-5132.Contact Information
Primary practice address
5030 El Camino Ave
Carmichael CA 95608-4650
Phone: (916) 609-5132
Fax: (916) 609-5161
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
NPI number | 1144363938 |
---|---|
LBN Legal business name | Polen, Nicole Catherine |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 14th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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 | 1144363938 | NPPES |
California | Other | 7372 | SACRAMENTO COUNTY PROVIDE |
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