Beagle, Nicole M

Beagle, Nicole M is an sole proprietor health care provider with primary practice located at 217 E Sanilac Rd , Sandusky MI 48471-1383. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Beagle, Nicole M can be contacted via phone (810) 648-4327.

Contact Information

Primary practice address
217 E Sanilac Rd Sandusky MI 48471-1383
Phone: (810) 648-4327
Fax: (810) 648-4338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6802085142 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301013447 Michigan

Profile Details

NPI number 1467540294
LBN Legal business name Beagle, Nicole M
Credentials LBSW, LLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Mar 12th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467540294 NPPES
Michigan Other 6301013447 LIMTD LICENSE MAST PSYCH.
Michigan Other 6802085142 LIMTD LICENSE MAST PSYCH.

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