Witthuhn, Nicole Sue
Witthuhn, Nicole Sue is an individual health care provider with primary practice located at 2608 Old Fair Rd , Grand Island NE 68803-5271. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Witthuhn, Nicole Sue can be contacted via phone (308) 382-5297.Contact Information
Primary practice address
2608 Old Fair Rd
Grand Island NE 68803-5271
Phone: (308) 382-5297
Fax: (308) 382-5315
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 8097 | Nebraska |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8524 | Nebraska |
Profile Details
NPI number | 1508962622 |
---|---|
LBN Legal business name | Witthuhn, Nicole Sue |
Credentials | PMSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 15th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1508962622 | NPPES |
Nebraska | MEDICAID | 10025173100 | |
Nebraska | MEDICAID | 10025173200 |
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