Mcnichols, David W

Mcnichols, David W is an individual health care provider with primary practice located at 414 W Virginia Ave , Effingham IL 62401-2258. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mcnichols, David W can be contacted via phone (217) 342-9738.

Contact Information

Primary practice address
414 W Virginia Ave Effingham IL 62401-2258
Phone: (217) 342-9738
Fax: (217) 342-9806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 0361036581 Illinois

Profile Details

NPI number 1144285826
LBN Legal business name Mcnichols, David W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Mar 3rd, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144285826 NPPES
Illinois Other 068148 HEALTHALLIANCE
Illinois MEDICAID 0361036581 HEALTHALLIANCE
Illinois Other 2500053 HEALTHALLIANCE
Illinois Other 340018705 HEALTHALLIANCE
Illinois Other 451985 HEALTHALLIANCE
Illinois Other CC9824 HEALTHALLIANCE

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