Crossland, Nicole Suzanne

Crossland, Nicole Suzanne is an individual health care provider with primary practice located at 1611 J St , Springfield OR 97477-4252. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Crossland, Nicole Suzanne can be contacted via phone (541) 726-5055.

Contact Information

Primary practice address
1611 J St Springfield OR 97477-4252
Fax: (541) 747-5440
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3222ATI Oregon

Profile Details

NPI number 1295933018
LBN Legal business name Crossland, Nicole Suzanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Jun 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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