Price, Nicole

Price, Nicole is an individual health care provider with primary practice located at 88 S Main St Ste 2 , Glen Carbon IL 62034-1415. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Price, Nicole can be contacted via phone (618) 288-8085.

Contact Information

Primary practice address
88 S Main St Ste 2 Glen Carbon IL 62034-1415
Phone: (618) 288-8085
Fax: (618) 288-8959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1538891734
LBN Legal business name Price, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2022
Last updated Jul 21st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538891734 NPPES
Other 19700036 IMCANS

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