Wiley, Nicole E

Wiley, Nicole E is an sole proprietor health care provider with primary practice located at 10000 Brecksville Rd , Brecksville OH 44141-3204. She recently has 2 registered licenses in different health care specialties including Hospitals / Special Hospital, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wiley, Nicole E can be contacted via phone (440) 526-3030.

Contact Information

Primary practice address
10000 Brecksville Rd Brecksville OH 44141-3204
Phone: (440) 526-3030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Special Hospital 284300000X S0800306 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1000113 Ohio

Profile Details

NPI number 1386811552
LBN Legal business name Wiley, Nicole E
Credentials LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2008
Last updated May 11th, 2010 - about 15 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 1386811552 NPPES
Ohio Other I.1000113 LICENSED INDEPENDENT SOCIAL WORKER
Ohio Other S0800306 LICENSED INDEPENDENT SOCIAL WORKER

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