Nichols, David L
Nichols, David L is an individual health care provider with primary practice located at 8700 Durand Ave Ste 600 , Sturtevant WI 53177-2096. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Nichols, David L can be contacted via phone (262) 635-5520.Contact Information
Primary practice address
8700 Durand Ave Ste 600
Sturtevant WI 53177-2096
Phone: (262) 635-5520
Fax: (262) 635-5530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 943-057 | Wisconsin |
Profile Details
| NPI number | 1063409852 |
|---|---|
| LBN Legal business name | Nichols, David L |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Mar 27th, 2018 - about 7 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 | 1063409852 | NPPES |
| Wisconsin | MEDICAID | 39027600 |
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