Carmichael, Nicole Mary

Carmichael, Nicole Mary is an individual health care provider with primary practice located at 415 N 9Th St Suite 4W64, Springfield IL 62702-5303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Carmichael, Nicole Mary can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
415 N 9Th St Suite 4W64 Springfield IL 62702-5303
Phone: (217) 545-8000
Fax: (217) 757-6519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-139643 Illinois

Profile Details

NPI number 1821439225
LBN Legal business name Carmichael, Nicole Mary
Credentials MD, PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2013
Last updated Aug 16th, 2016 - about 10 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 1821439225 NPPES
Illinois MEDICAID 036139643

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