Rose, Nicole

Rose, Nicole is an individual health care provider with primary practice located at 207 W Conway St , Benton AR 72015-3727. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Rose, Nicole can be contacted via phone (501) 778-4861.

Contact Information

Primary practice address
207 W Conway St Benton AR 72015-3727
Phone: (501) 778-4861
Fax: (501) 776-5794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X

Profile Details

NPI number 1902346398
LBN Legal business name Rose, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2017
Last updated Mar 3rd, 2017 - about 8 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 1902346398 NPPES
Arkansas MEDICAID 217821721

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