Nichols, Clay A.
Nichols, Clay A. is an individual health care provider with primary practice located at 600 Moye Blvd Ecu Physicians Pathology, Greenville NC 27834-4300. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Forensic Pathology. Allopathic & Osteopathic Physicians / Forensic Pathology is his primary health care specialty. Nichols, Clay A. can be contacted via phone (252) 744-2803.Contact Information
Primary practice address
600 Moye Blvd Ecu Physicians Pathology
Greenville NC 27834-4300
Phone: (252) 744-2803
Fax: (252) 744-3616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 13038 | South Carolina |
| Allopathic & Osteopathic Physicians / Forensic Pathology | 207ZF0201X | 2011-00202 | North Carolina |
Profile Details
| NPI number | 1396715157 |
|---|---|
| LBN Legal business name | Nichols, Clay A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jun 27th, 2014 - about 10 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 | 1396715157 | NPPES |
| North Carolina | MEDICAID | 1396715157 | |
| North Carolina | Other | 185CZ | |
| North Carolina | MEDICAID | GP3481 | |
| North Carolina | Other | 010678285 |
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