Nichols, Deborah Ann
Nichols, Deborah Ann is an sole proprietor health care provider with primary practice located at 509 Mdg 331 Sijan Avenue, Whiteman Afb MO 65305. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nichols, Deborah Ann can be contacted via phone (660) 687-4412.Contact Information
Primary practice address
509 Mdg 331 Sijan Avenue
Whiteman Afb MO 65305
Phone: (660) 687-4412
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 004672 | Missouri |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW004672 | Missouri |
Profile Details
| NPI number | 1336184985 |
|---|---|
| LBN Legal business name | Nichols, Deborah Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Nov 30th, 2021 - about 5 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 | 1336184985 | NPPES |
| Missouri | MEDICAID | 497884338 | |
| Missouri | Other | 23810 |
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