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Contact Information

NICHOLE C PAULEY, CST/CSFA
1604 VISA DR.
STE. 1
NORMAL, IL61761
 Phone: 309-846-4716
 Fax: 309-454-7348
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for NICHOLE C PAULEY · (Female)

NPI # 1174776843
Status Active
Credentials CST/CSFA
Entity Individual
Enumeration date 10/28/2008
Last updated 03/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 238.000.120
  • IL License # 238.000120
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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