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
Fax: (541) 222-8320
Website:

Health care specialties

SpecialtyCodeLicense #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 6 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235357104 NPPES
Oregon MEDICAID 500688597

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