Ingalls, Nichole
Ingalls, Nichole is an sole proprietor health care provider with primary practice located at Peacehealth Surgical Specialties 3355 Riverbend Dr Ste 300, Springfield OR 97477-8800. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Ingalls, Nichole can be contacted via phone (541) 222-8333.Contact Information
Primary practice address
Peacehealth Surgical Specialties 3355 Riverbend Dr Ste 300
Springfield OR 97477-8800
Phone: (541) 222-8333
Fax: (541) 222-8320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD171381 | Oregon |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD171381 | Oregon |
Profile Details
| NPI number | 1235357104 |
|---|---|
| LBN Legal business name | Ingalls, Nichole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Mar 13th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235357104 | NPPES |
| Oregon | MEDICAID | 500688597 |
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