Nicholson, Kaitlin Elaine
Nicholson, Kaitlin Elaine is an individual health care provider with primary practice located at 5598 Sunrise Dr , Fort Myers FL 33919-1716. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Nicholson, Kaitlin Elaine can be contacted via phone (239) 274-6749.Contact Information
Primary practice address
5598 Sunrise Dr
Fort Myers FL 33919-1716
Phone: (239) 274-6749
Fax: (239) 274-6787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AL5015 | Florida |
Profile Details
| NPI number | 1275021768 |
|---|---|
| LBN Legal business name | Nicholson, Kaitlin Elaine |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2018 |
| Last updated | Apr 30th, 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 | 1275021768 | NPPES |
| Florida | Other | AL5015 | FLORIDA DEPARTMENT OF HEALTH AT LICENSURE |
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