Heatherly, Nicole Michelle

Heatherly, Nicole Michelle is an individual health care provider with primary practice located at 7196 Crestwood Blvd Ste 100 , Frederick MD 21703-1845. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Heatherly, Nicole Michelle can be contacted via phone (301) 698-0001.

Contact Information

Primary practice address
7196 Crestwood Blvd Ste 100 Frederick MD 21703-1845
Phone: (301) 698-0001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X S03925 Maryland

Profile Details

NPI number 1407363781
LBN Legal business name Heatherly, Nicole Michelle
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2018
Last updated Jan 8th, 2018 - about 8 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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