Fogwell, Nicole Theiss

Fogwell, Nicole Theiss is an individual health care provider with primary practice located at 1695 Nw 9Th Ave Ste 2416 , Miami FL 33136-1409. She recently has only one registered license in Behavioral Health & Social Service Providers / Health, which is considered as her primary health care specialty. Fogwell, Nicole Theiss can be contacted via phone (440) 212-2384.

Contact Information

Primary practice address
1695 Nw 9Th Ave Ste 2416 Miami FL 33136-1409
Phone: (440) 212-2384
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X

Profile Details

NPI number 1396535894
LBN Legal business name Fogwell, Nicole Theiss
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2025
Last updated May 8th, 2025 - about last year

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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