Nicholas, William John
Nicholas, William John is an individual health care provider with primary practice located at 3202 Mcintosh Cir Ste Ll03, Joplin MO 64804-3646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Nicholas, William John can be contacted via phone (417) 347-6400.Contact Information
Primary practice address
3202 Mcintosh Cir Ste Ll03
Joplin MO 64804-3646
Phone: (417) 347-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 110180 | Missouri |
Profile Details
| NPI number | 1356387484 |
|---|---|
| LBN Legal business name | Nicholas, William John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Jun 15th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356387484 | NPPES |
| Oklahoma | MEDICAID | 100202220A | |
| Oklahoma | MEDICAID | 208167924 | |
| Oklahoma | Other | 117796 | |
| Oklahoma | Other | P00322601 | |
| Oklahoma | MEDICAID | 100137270C | |
| Oklahoma | Other | 110817 | |
| Oklahoma | Other | 424135 | |
| Oklahoma | Other | 060061613 | |
| Oklahoma | MEDICAID | 100137270D |
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