Deacon, Nicola
Deacon, Nicola is an individual health care provider with primary practice located at 9120 W Loomis Rd Ste 100 , Franklin WI 53132-9083. 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. Deacon, Nicola can be contacted via phone (414) 858-1740.Contact Information
Primary practice address
9120 W Loomis Rd Ste 100
Franklin WI 53132-9083
Phone: (414) 858-1740
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10280-024 | Wisconsin |
Profile Details
| NPI number | 1235330341 |
|---|---|
| LBN Legal business name | Deacon, Nicola |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | Oct 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235330341 | NPPES |
| Wisconsin | MEDICAID | 100071975 |
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