Eide, Nicole

Eide, Nicole is an individual health care provider with primary practice located at 3415 Sheridan Rd , Kenosha WI 53140-1924. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Eide, Nicole can be contacted via phone (262) 657-6175.

Contact Information

Primary practice address
3415 Sheridan Rd Kenosha WI 53140-1924
Phone: (262) 657-6175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5859-26 Wisconsin

Profile Details

NPI number 1316393895
LBN Legal business name Eide, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2016
Last updated May 13th, 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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