Rave, Nichole Christine

Rave, Nichole Christine is an individual health care provider with primary practice located at 1404 Eastland Dr Ste 204 , Bloomington IL 61701-7904. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Rave, Nichole Christine can be contacted via phone (309) 662-8813.

Contact Information

Primary practice address
1404 Eastland Dr Ste 204 Bloomington IL 61701-7904
Phone: (309) 662-8813
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 085009019 Illinois

Profile Details

NPI number 1386031045
LBN Legal business name Rave, Nichole Christine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2015
Last updated May 24th, 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.

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