Powell, Nicole Marie
Powell, Nicole Marie is an individual health care provider with primary practice located at 3600 W Bethel Ave , Muncie IN 47304-5407. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Powell, Nicole Marie can be contacted via phone (765) 213-3870.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 05010696A | Indiana |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 99048667A | Indiana |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05010696A | Indiana |
Profile Details
NPI number | 1053697862 |
---|---|
LBN Legal business name | Powell, Nicole Marie |
Credentials | DPT, ATC, LAT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 25th, 2011 |
Last updated | Apr 18th, 2024 - about last year |
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 | 1053697862 | NPPES |
Indiana | Other | 1103842746 | ANTHEM PTAN |
Indiana | MEDICAID | 300088469 | ANTHEM PTAN |
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