Nichols, Byron

Nichols, Byron is an individual health care provider with primary practice located at 1255 Golfview Ave , Bartow FL 33830-6736. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Nichols, Byron can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
1255 Golfview Ave Bartow FL 33830-6736
Phone: (863) 519-0575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN2595232 Florida

Profile Details

NPI number 1205248457
LBN Legal business name Nichols, Byron
Credentials RNC, BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2014
Last updated Jan 28th, 2016 - about 9 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 1205248457 NPPES
Florida MEDICAID 016368500

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