Skodack, Nicole R

Skodack, Nicole R is an individual health care provider with primary practice located at 1719 Wisconsin Ave , Grand Haven MI 49417-2576. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Skodack, Nicole R can be contacted via phone (616) 540-4911.

Contact Information

Primary practice address
1719 Wisconsin Ave Grand Haven MI 49417-2576
Phone: (616) 540-4911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X

Profile Details

NPI number 1235684986
LBN Legal business name Skodack, Nicole R
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2016
Last updated Aug 23rd, 2016 - 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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