Smith, Nicole
Smith, Nicole is an individual health care provider with primary practice located at Rt. 10 Three Mile Curve , Logan WV 25601-9998. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Nicole can be contacted via phone (304) 792-7130.Contact Information
Primary practice address
Rt. 10 Three Mile Curve
Logan WV 25601-9998
Phone: (304) 792-7130
Fax: (304) 792-7146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 923 | West Virginia |
Profile Details
| NPI number | 1316097538 |
|---|---|
| LBN Legal business name | Smith, Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 1st, 2010 - about 15 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 | 1316097538 | NPPES |
| West Virginia | MEDICAID | 0005460001 | |
| West Virginia | MEDICAID | 0005460002 | |
| West Virginia | MEDICAID | 3810011604 | |
| West Virginia | MEDICAID | 0005460000 |
Popular Providers
-
Schultz, Laura T
13 Fairlane Dr , Joliet IL 60435-6483 -
Okon, Deborah Mcneil
315 W Reinken Ave Ste C, Belen NM 87002-4257 -
Tunnell, Gilbert B
222 W 14Th St Apt 10C, New York NY 10011-7209 -
Staubsinger, Arlene Beth
8100 Oswego Rd Ste 235, Liverpool NY 13090-1660 -
Leavitt, Barry M
4801 W Peterson Ave Ste 525, Chicago IL 60646 -
Lepkowsky, Charles Michael
1143 Deer Trail Ln , Solvang CA 93463-9519 -
Beebe, Bradford Michael
355 Quartermaster Ct , Jeffersonville IN 47130-3670 -
Sigler, Todd Michael
1935 County Road B2 W Ste 270 , Roseville MN 55113-2785