Nichols, Eric Charles

Nichols, Eric Charles is an sole proprietor health care provider with primary practice located at 156 College St , Burlington VT 05401-8423. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Nichols, Eric Charles can be contacted via phone (802) 578-9855.

Contact Information

Primary practice address
156 College St Burlington VT 05401-8423
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 048-0000330 Vermont

Profile Details

NPI number 1265584601
LBN Legal business name Nichols, Eric Charles
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 18 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 1265584601 NPPES
Vermont MEDICAID 1005516

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