Nicholls, Chad
Nicholls, Chad is an individual health care provider with primary practice located at 3460 Pioneer Pkwy , West Valley City UT 84120-2049. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Nicholls, Chad can be contacted via phone (801) 964-3100.Contact Information
Primary practice address
3460 Pioneer Pkwy
West Valley City UT 84120-2049
Phone: (801) 964-3100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 6068204-1205 | Utah |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 6068204-1205 | Utah |
Profile Details
NPI number | 1376505867 |
---|---|
LBN Legal business name | Nicholls, Chad |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2006 |
Last updated | Apr 21st, 2010 - about 15 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 | 1376505867 | NPPES |
Utah | MEDICAID | D6585 |
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