Elliott, Nicole

Elliott, Nicole is an individual health care provider with primary practice located at 1003 E Main St Ste 104 , Medford OR 97504-7140. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Elliott, Nicole can be contacted via phone (541) 779-1282.

Contact Information

Primary practice address
1003 E Main St Ste 104 Medford OR 97504-7140
Phone: (541) 779-1282
Fax: (541) 608-2888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 201141590RN Oregon

Profile Details

NPI number 1326495607
LBN Legal business name Elliott, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2016
Last updated May 17th, 2016 - about 9 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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