Spurgeon, Nicole

Spurgeon, Nicole is an sole proprietor health care provider with primary practice located at 1351 Newtown Pike Bldg 1 , Lexington KY 40511-1277. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist is her primary health care specialty. Spurgeon, Nicole can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
1351 Newtown Pike Bldg 1 Lexington KY 40511-1277
Phone: (859) 253-1686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist 225600000X Kentucky

Profile Details

NPI number 1417494394
LBN Legal business name Spurgeon, Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2017
Last updated Dec 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417494394 NPPES
Kentucky MEDICAID 1790731081

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