Boy, Nichole Lei
Boy, Nichole Lei is an individual health care provider with primary practice located at 1596 Susan A Williams Way Suite D, Chino Valley AZ 86323-6172. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Boy, Nichole Lei can be contacted via phone (928) 636-7950.Contact Information
Primary practice address
1596 Susan A Williams Way Suite D
Chino Valley AZ 86323-6172
Phone: (928) 636-7950
Fax: (928) 636-7951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 7255 | Colorado |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6301 | Arizona |
Profile Details
| NPI number | 1265414981 |
|---|---|
| LBN Legal business name | Boy, Nichole Lei |
| Credentials | PT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Sep 3rd, 2020 - about 3 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 | 1265414981 | NPPES |
| Arizona | MEDICAID | 939267 |
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