Nichols, Allen Bryant

Nichols, Allen Bryant is an individual health care provider with primary practice located at 12720 Mcmanus Blvd Suite 201, Newport News VA 23602-4414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Nichols, Allen Bryant can be contacted via phone (757) 875-5332.

Contact Information

Primary practice address
12720 Mcmanus Blvd Suite 201 Newport News VA 23602-4414
Phone: (757) 875-5332
Fax: (757) 874-1545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101036628 Virginia

Profile Details

NPI number 1407998420
LBN Legal business name Nichols, Allen Bryant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Mar 25th, 2011 - about 13 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 1407998420 NPPES
Virginia MEDICAID 010130409

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