Wolters, Nicole
Wolters, Nicole is an sole proprietor health care provider with primary practice located at 1100 Beech St Building 7 Suite 7, Normal IL 61761-4616. 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 / Clinical is her primary health care specialty. Wolters, Nicole can be contacted via phone (815) 893-9731.Contact Information
Primary practice address
1100 Beech St Building 7 Suite 7
Normal IL 61761-4616
Phone: (815) 893-9731
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
NPI number | 1457940140 |
---|---|
LBN Legal business name | Wolters, Nicole |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 16th, 2021 |
Last updated | Apr 25th, 2022 - about 2 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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