Nichols, Dan
Nichols, Dan is an sole proprietor health care provider with primary practice located at 2005 E Highland Dr Suite #213, Jonesboro AR 72401-6123. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Nichols, Dan can be contacted via phone (870) 932-7860.Contact Information
Primary practice address
2005 E Highland Dr Suite #213
Jonesboro AR 72401-6123
Phone: (870) 932-7860
Fax: (870) 932-3285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1099 | Arkansas |
Profile Details
| NPI number | 1528050887 |
|---|---|
| LBN Legal business name | Nichols, Dan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jul 26th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528050887 | NPPES |
| Arkansas | MEDICAID | 115129718 |
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