Nickle, Lisa

Nickle, Lisa is an individual health care provider with primary practice located at 450 W 6Th St , Yuma AZ 85364-2973. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Nickle, Lisa can be contacted via phone (928) 502-4399.

Contact Information

Primary practice address
450 W 6Th St Yuma AZ 85364-2973
Phone: (928) 502-4399
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SLPA8559 Arizona

Profile Details

NPI number 1831525351
LBN Legal business name Nickle, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2013
Last updated Sep 16th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831525351 NPPES
Arizona MEDICAID 010920614

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