Nicholson, Michael R

Nicholson, Michael R is an individual health care provider with primary practice located at 10940 W Forest Home Ave , Hales Corners WI 53130-2516. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Nicholson, Michael R can be contacted via phone (262) 278-4462.

Contact Information

Primary practice address
10940 W Forest Home Ave Hales Corners WI 53130-2516
Phone: (262) 278-4462
Fax: (815) 387-2569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15466-132 Wisconsin

Profile Details

NPI number 1619101847
LBN Legal business name Nicholson, Michael R
Credentials CSAC CSIT
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2009
Last updated Apr 26th, 2016 - about 9 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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