Keadle, Nicole Marie

Keadle, Nicole Marie is an individual health care provider with primary practice located at 8030 Soquel Ave Suite 103, Santa Cruz CA 95062-2096. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Keadle, Nicole Marie can be contacted via phone (831) 476-1747.

Contact Information

Primary practice address
8030 Soquel Ave Suite 103 Santa Cruz CA 95062-2096
Phone: (831) 476-1747
Fax: (831) 476-1125
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RI-K1511041608 California

Profile Details

NPI number 1669847018
LBN Legal business name Keadle, Nicole Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2015
Last updated Dec 10th, 2015 - about 11 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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