Sisson Smith, Nicole

Sisson Smith, Nicole is an sole proprietor health care provider with primary practice located at 514 S Brown St , Springfield TN 37172-2937. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Sisson Smith, Nicole can be contacted via phone (615) 988-4552.

Contact Information

Primary practice address
514 S Brown St Springfield TN 37172-2937
Phone: (615) 988-4552
Fax: (615) 382-0501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 6791 Tennessee

Profile Details

NPI number 1154915411
LBN Legal business name Sisson Smith, Nicole
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2021
Last updated Feb 25th, 2021 - about 5 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 1154915411 NPPES
Tennessee Other 6791 STATE LICENSE

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