NICKLES PRIVATE PROBATION SERVICES LLC; NPI #1215779665

Contact Information

NICKLES PRIVATE PROBATION SERVICES LLC

205 3RD ST
STEELVILLE, MO 65565-5054

Phone: 573-712-5145
Fax: 630-305-9287
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Recovery Care	261QR0800X

Indicates primary specialty

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NPI Profile & details for NICKLES PRIVATE PROBATION SERVICES LLC

NPI #	`1215779665`
LBN Legal business name	NICKLES PRIVATE PROBATION SERVICES LLC
Authorized official	KENNETH NICKLES - (SOLE MEMBER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/07/2024
Last updated	06/07/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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