Nichols, Craig Randal

Nichols, Craig Randal is an individual health care provider with primary practice located at 5131 S Cottonwood St , Murray UT 84107-5701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Nichols, Craig Randal can be contacted via phone (801) 507-3800.

Contact Information

Primary practice address
5131 S Cottonwood St Murray UT 84107-5701
Phone: (801) 507-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD21496 Oregon
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD00038184 Washington
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 9586855-1205 Utah

Profile Details

NPI number 1295743730
LBN Legal business name Nichols, Craig Randal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Feb 2nd, 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 1295743730 NPPES
Washington MEDICAID 8233512
Washington MEDICAID 1295743730
Washington MEDICAID 159046
Washington Other 0276491

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