Woods, Nickole
Woods, Nickole is an individual health care provider with primary practice located at 101 E Edwardsville Rd , Wood River IL 62095-1369. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Woods, Nickole can be contacted via phone (618) 296-5390.Contact Information
Primary practice address
101 E Edwardsville Rd
Wood River IL 62095-1369
Phone: (618) 296-5390
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 150106883 | Illinois |
Profile Details
| NPI number | 1902525116 |
|---|---|
| LBN Legal business name | Woods, Nickole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2022 |
| Last updated | Aug 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902525116 | NPPES |
| Illinois | MEDICAID | 4A00-IPI-032 |
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