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

Primary practice address
6748 W 9500 N Highland UT 84003-3455
Phone: (480) 318-3949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 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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