Henry, Nicole Rae

Henry, Nicole Rae is an individual health care provider with primary practice located at 2550 23Rd St Ste 119 , San Francisco CA 94110-3504. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is her primary health care specialty. Henry, Nicole Rae can be contacted via phone (415) 206-4387.

Contact Information

Primary practice address
2550 23Rd St Ste 119 San Francisco CA 94110-3504
Phone: (415) 206-4387
Fax: (415) 206-4389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X

Profile Details

NPI number 1346701059
LBN Legal business name Henry, Nicole Rae
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2019
Last updated Mar 26th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346701059 NPPES
Other CPO04230 AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PEDORTHICS, INC.

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