Wall, Nicole Fay

Wall, Nicole Fay is an sole proprietor health care provider with primary practice located at 778 West Cockatiel Loop , Hernando FL 34442. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wall, Nicole Fay can be contacted via phone (305) 308-5816.

Contact Information

Primary practice address
778 West Cockatiel Loop Hernando FL 34442
Phone: (305) 308-5816
Fax: (305) 243-3155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT11286 Florida

Profile Details

NPI number 1306020599
LBN Legal business name Wall, Nicole Fay
Credentials B.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 24th, 2007
Last updated Dec 24th, 2007 - about 18 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 1306020599 NPPES
Florida MEDICAID 889443400

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