Visan, Nickole R
Visan, Nickole R is an individual health care provider with primary practice located at 18514 Pentecostal St , Ellendale DE 19941-3358. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Visan, Nickole R can be contacted via phone (302) 424-8080.Contact Information
Primary practice address
18514 Pentecostal St
Ellendale DE 19941-3358
Phone: (302) 424-8080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1447590351 |
|---|---|
| LBN Legal business name | Visan, Nickole R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2013 |
| Last updated | Mar 1st, 2013 - about 13 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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