Formwalt, Nicole R.
Formwalt, Nicole R. is an sole proprietor health care provider with primary practice located at 7305 Cottage Hill Rd , Mobile AL 36695-2829. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Formwalt, Nicole R. can be contacted via phone (251) 422-2043.Contact Information
Primary practice address
7305 Cottage Hill Rd
Mobile AL 36695-2829
Phone: (251) 422-2043
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2227 | Alabama |
Profile Details
| NPI number | 1255675146 |
|---|---|
| LBN Legal business name | Formwalt, Nicole R. |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2012 |
| Last updated | Nov 16th, 2012 - about 14 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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