Nichols, Clinton R
Nichols, Clinton R is an individual health care provider with primary practice located at 8745 Aero Drive Suite 200, San Diego CA 92123-1774. He recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Nichols, Clinton R can be contacted via phone (858) 565-0950.Contact Information
Primary practice address
8745 Aero Drive Suite 200
San Diego CA 92123-1774
Phone: (858) 565-0950
Fax: (858) 244-1100
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A71406 | California |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | A71406 | California |
Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | A71406 | California |
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | A71406 | California |
Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | A71406 | California |
Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | A71406 | California |
Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | A71406 | California |
Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | A71406 | California |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | A71406 | California |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | A71406 | California |
Profile Details
NPI number | 1750355657 |
---|---|
LBN Legal business name | Nichols, Clinton R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2006 |
Last updated | Oct 9th, 2007 - about 17 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 | 1750355657 | NPPES |
California | MEDICAID | GR0083816 | |
California | MEDICAID | TD009B | |
California | MEDICAID | GR0083817 | |
California | MEDICAID | GR0083812 | |
California | MEDICAID | GR0083815 | |
California | MEDICAID | GR0083813 | |
California | MEDICAID | GR083810 | |
California | MEDICAID | GR0083811 | |
California | MEDICAID | GR0083814 | |
California | MEDICAID | ZZZ75341Z |
Popular Providers
-
Kolkow, Stephen
34800 Bob Wilson Dr Nmcsd, Attn: Medical Staff Services, San Diego CA 92134-1098 -
Boucher, Ronald J
34800 Bob Wilson Dr Nmcsd, Attn: Medical Staff Services, San Diego CA 92134-1098 -
Snyder, Peter Daniel
34800 Bob Wilson Dr Nmcsd, Attn: Medical Staff Services, San Diego CA 92134-1098 -
Boswell, Gilbert Erich
200 W Arbor Dr , San Diego CA 92103-9000 -
Fleischli, Donald Joseph
34800 Bob Wilson Dr Nmcsd, Attn: Medical, San Diego CA 92134-1098 -
Pickard, Ralph
34800 Bob Wilson Dr Nmcsd, Attn: Medical Staff Services, San Diego CA 92134-1098 -
Rhoads, Wendy W
Surface Warfare Medicine Institute 50 Rosecrans St. Bldg. 500, San Diego CA 92106 -
Pelletier, Pierre Alfred
34800 Bob Wilson Drive Naval Hospital, San Diego, San Diego CA 92134-5000