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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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 1376505867 NPPES
Utah MEDICAID D6585

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