Nicks, Shirley Dianne

Nicks, Shirley Dianne is an sole proprietor health care provider with primary practice located at 8450 Butts Canyon Road , Pope Valley CA 94567. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Nicks, Shirley Dianne can be contacted via phone (707) 965-9242.

Contact Information

Primary practice address
8450 Butts Canyon Road Pope Valley CA 94567
Phone: (707) 965-9242
Fax: (707) 965-9242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X California

Profile Details

NPI number 1457595639
LBN Legal business name Nicks, Shirley Dianne
Credentials CMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2009
Last updated May 1st, 2009 - about 17 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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