Nichols, Kristen
Nichols, Kristen is an sole proprietor health care provider with primary practice located at 534 Owl Creek Dr , Powder Springs GA 30127-6285. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Nichols, Kristen can be contacted via phone (770) 361-4124.Contact Information
Primary practice address
534 Owl Creek Dr
Powder Springs GA 30127-6285
Phone: (770) 361-4124
Fax: (678) 290-5587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | PCET003032 | Georgia |
Profile Details
| NPI number | 1285285718 |
|---|---|
| LBN Legal business name | Nichols, Kristen |
| Credentials | SLP-PCE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2019 |
| Last updated | Sep 25th, 2019 - about 7 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 | 1285285718 | NPPES |
| Georgia | MEDICAID | 000869096E |
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