Sisson Smith, Nicole
Sisson Smith, Nicole is an sole proprietor health care provider with primary practice located at 514 S Brown St , Springfield TN 37172-2937. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Sisson Smith, Nicole can be contacted via phone (615) 988-4552.Contact Information
Primary practice address
514 S Brown St
Springfield TN 37172-2937
Phone: (615) 988-4552
Fax: (615) 382-0501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 6791 | Tennessee |
Profile Details
| NPI number | 1154915411 |
|---|---|
| LBN Legal business name | Sisson Smith, Nicole |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2021 |
| Last updated | Feb 25th, 2021 - about 3 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 | 1154915411 | NPPES |
| Tennessee | Other | 6791 | STATE LICENSE |
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