Lee, Nicole Everett
Lee, Nicole Everett is an sole proprietor health care provider with primary practice located at 65 White St , Ft Oglethorpe GA 30742-3694. 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. Lee, Nicole Everett can be contacted via phone (423) 309-7975.Contact Information
Primary practice address
65 White St
Ft Oglethorpe GA 30742-3694
Phone: (423) 309-7975
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT004937 | Georgia |
Profile Details
| NPI number | 1669603437 |
|---|---|
| LBN Legal business name | Lee, Nicole Everett |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2009 |
| Last updated | Jan 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669603437 | NPPES |
| Tennessee | MEDICAID | 1516981 | |
| Tennessee | MEDICAID | 350828953A |
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