Decorah, Nichole

Decorah, Nichole is an sole proprietor health care provider with primary practice located at 1508 New Pinery Rd , Portage WI 53901-1312. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Decorah, Nichole can be contacted via phone (608) 745-4900.

Contact Information

Primary practice address
1508 New Pinery Rd Portage WI 53901-1312
Phone: (608) 745-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5176-226 Wisconsin

Profile Details

NPI number 1154894848
LBN Legal business name Decorah, Nichole
Credentials LPC-IT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2019
Last updated Nov 23rd, 2021 - about 5 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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