Samuels, Nicolle Renea

Samuels, Nicolle Renea is an individual health care provider with primary practice located at 1222 E Woodland Ave , Barron WI 54812-1765. 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. Samuels, Nicolle Renea can be contacted via phone (715) 838-5222.

Contact Information

Primary practice address
1222 E Woodland Ave Barron WI 54812-1765
Phone: (715) 838-5222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9734 Wisconsin

Profile Details

NPI number 1932172129
LBN Legal business name Samuels, Nicolle Renea
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1932172129 NPPES
Wisconsin Other 9734 LICENSE

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