Charles, Nicole Diane

Charles, Nicole Diane is an sole proprietor health care provider with primary practice located at 6309 Mack Ave , Detroit MI 48207-2302. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Charles, Nicole Diane can be contacted via phone (313) 331-3435.

Contact Information

Primary practice address
6309 Mack Ave Detroit MI 48207-2302
Phone: (313) 331-3435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1154008100
LBN Legal business name Charles, Nicole Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2023
Last updated Jun 30th, 2023 - 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.

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