Wilson, Nicole S

Wilson, Nicole S is an sole proprietor health care provider with primary practice located at 201 Lafayette Ave , Mattoon IL 61938-4409. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wilson, Nicole S can be contacted via phone (217) 235-5449.

Contact Information

Primary practice address
201 Lafayette Ave Mattoon IL 61938-4409
Phone: (217) 235-5449
Fax: (217) 235-0611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146005626 Illinois

Profile Details

NPI number 1073833133
LBN Legal business name Wilson, Nicole S
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2010
Last updated Jun 10th, 2010 - about 16 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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