Nichols, Andrew O

Nichols, Andrew O is an individual health care provider with primary practice located at 57 Bedford St Ste 130, Lexington MA 02420-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nichols, Andrew O can be contacted via phone (781) 862-7500.

Contact Information

Primary practice address
57 Bedford St Ste 130 Lexington MA 02420-4500
Fax: (781) 861-1409
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 72779 Massachusetts

Profile Details

NPI number 1598762858
LBN Legal business name Nichols, Andrew O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Mar 23rd, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598762858 NPPES
Massachusetts MEDICAID 3074439

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