Iverson, Nicole Marie

Iverson, Nicole Marie is an individual health care provider with primary practice located at 2004 Highland Ave Ste M , Eau Claire WI 54701-4389. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Iverson, Nicole Marie can be contacted via phone (715) 355-9158.

Contact Information

Primary practice address
2004 Highland Ave Ste M Eau Claire WI 54701-4389
Phone: (715) 355-9158
Fax: (715) 835-8112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1224-124 Wisconsin

Profile Details

NPI number 1801274931
LBN Legal business name Iverson, Nicole Marie
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2015
Last updated Jan 7th, 2020 - about 6 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 1801274931 NPPES
Wisconsin MEDICAID 1801274931

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