Young, Nickcole Melanie
Young, Nickcole Melanie is an sole proprietor health care provider with primary practice located at 5202 Lucky Ave Apt A2 , Chubbuck ID 83202-2395. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Young, Nickcole Melanie can be contacted via phone (208) 380-2249.Contact Information
Primary practice address
5202 Lucky Ave Apt A2
Chubbuck ID 83202-2395
Phone: (208) 380-2249
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1427755404 |
|---|---|
| LBN Legal business name | Young, Nickcole Melanie |
| Credentials | BI |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2023 |
| Last updated | Feb 10th, 2023 - 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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