Numkena, Nicole Ilene

Numkena, Nicole Ilene is an individual health care provider with primary practice located at 852 E Three Fountains Dr Unit 203 , Murray UT 84107-5278. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Numkena, Nicole Ilene can be contacted via phone (801) 649-9011.

Contact Information

Primary practice address
852 E Three Fountains Dr Unit 203 Murray UT 84107-5278
Phone: (801) 649-9011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1932568854
LBN Legal business name Numkena, Nicole Ilene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2016
Last updated Feb 19th, 2016 - about 10 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 1932568854 NPPES
Utah MEDICAID 12623886

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