Roberts, Nicolette Ronaye
Roberts, Nicolette Ronaye is an sole proprietor health care provider with primary practice located at 218 Pokegama Ave N , Grand Rapids MN 55744. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Roberts, Nicolette Ronaye can be contacted via phone (218) 326-9453.Contact Information
Primary practice address
218 Pokegama Ave N
Grand Rapids MN 55744
Phone: (218) 326-9453
Fax: (218) 326-9453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 20050045 |
Profile Details
| NPI number | 1467638627 |
|---|---|
| LBN Legal business name | Roberts, Nicolette Ronaye |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2008 |
| Last updated | Jun 21st, 2013 - about 12 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 | 1467638627 | NPPES |
| Other | 20050045 | AMMA |
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