Squires, Nikole Decker
Squires, Nikole Decker is an sole proprietor health care provider with primary practice located at 6748 W 9500 N , Highland UT 84003-3455. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Other Service Providers / Prevention Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Squires, Nikole Decker can be contacted via phone (480) 318-3949.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 10877423-4810 | Utah |
Allopathic & Osteopathic Physicians / Sports Medicine | 2083S0010X | 10877423-4810 | Utah |
Other Service Providers / Prevention Professional | 405300000X | TBA | Utah |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 10877423-4810 | Utah |
Profile Details
NPI number | 1215493838 |
---|---|
LBN Legal business name | Squires, Nikole Decker |
Credentials | LAT, ATC, CPT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 19th, 2019 |
Last updated | Feb 19th, 2019 - about 6 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 | 1215493838 | NPPES |
Utah | Other | 10877423-4810 | UT DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING |
Utah | Other | 2000031617 | UT DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING |
Utah | Other | TBA | UT DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING |
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