Baum, Nicole Marie

Baum, Nicole Marie is an individual health care provider with primary practice located at 2411 Pathways Crossing , Belleville IL 62221. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Baum, Nicole Marie can be contacted via phone (618) 355-4423.

Contact Information

Primary practice address
2411 Pathways Crossing Belleville IL 62221
Phone: (618) 355-4423
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 841408 Illinois

Profile Details

NPI number 1922524586
LBN Legal business name Baum, Nicole Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2017
Last updated Aug 16th, 2017 - about 9 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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