Myers, Nicole Lynn
Myers, Nicole Lynn is an individual health care provider with primary practice located at 555 S Perryville Rd Ste 222 , Rockford IL 61108-2527. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Myers, Nicole Lynn can be contacted via phone (815) 331-1023.Contact Information
Primary practice address
555 S Perryville Rd Ste 222
Rockford IL 61108-2527
Phone: (815) 331-1023
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 178.014880 | Illinois |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180014597 | Illinois |
Profile Details
| NPI number | 1669037933 |
|---|---|
| LBN Legal business name | Myers, Nicole Lynn |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2019 |
| Last updated | Nov 14th, 2024 - about 2 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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