Jefferson, Nicole

Jefferson, Nicole is an sole proprietor health care provider with primary practice located at 1306 Baron Ct , Valparaiso IN 46383-4479. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jefferson, Nicole can be contacted via phone (219) 315-7421.

Contact Information

Primary practice address
1306 Baron Ct Valparaiso IN 46383-4479
Phone: (219) 315-7421
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 057005417 Illinois

Profile Details

NPI number 1053934257
LBN Legal business name Jefferson, Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2020
Last updated May 21st, 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.

Request for update

Popular Providers