Novotny, Nicole
Novotny, Nicole is an individual health care provider with primary practice located at 2455 Missouri Ave Suite B, Las Cruces NM 88001-5122. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Novotny, Nicole can be contacted via phone (575) 556-8440.Contact Information
Primary practice address
2455 Missouri Ave Suite B
Las Cruces NM 88001-5122
Phone: (575) 556-8440
Fax: (575) 556-8439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2026 | New Mexico |
Profile Details
| NPI number | 1801884416 |
|---|---|
| LBN Legal business name | Novotny, Nicole |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Apr 29th, 2015 - about 11 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 | 1801884416 | NPPES |
| New Mexico | MEDICAID | 87750066 | |
| New Mexico | Other | NM00Q517 |
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