Osborne, Nicole

Osborne, Nicole is an sole proprietor health care provider with primary practice located at 624 Market Ave N , Canton OH 44702. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Osborne, Nicole can be contacted via phone (330) 479-1912.

Contact Information

Primary practice address
624 Market Ave N Canton OH 44702
Fax: (330) 479-1916
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1609378322
LBN Legal business name Osborne, Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2018
Last updated Mar 8th, 2018 - about 8 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 1609378322 NPPES
Ohio MEDICAID 0191691

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