Wiggins, Courtney Nichelle
Wiggins, Courtney Nichelle is an sole proprietor health care provider with primary practice located at 313 Office Square Ln , Virginia Beach VA 23462-3657. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Wiggins, Courtney Nichelle can be contacted via phone (757) 997-5288.Contact Information
Primary practice address
313 Office Square Ln
Virginia Beach VA 23462-3657
Phone: (757) 997-5288
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X | Virginia |
Profile Details
| NPI number | 1134886419 |
|---|---|
| LBN Legal business name | Wiggins, Courtney Nichelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2021 |
| Last updated | Nov 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134886419 | NPPES |
| Virginia | MEDICAID | T60592091 |
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