Nichols, Fred Michael
Nichols, Fred Michael is an individual health care provider with primary practice located at 845 Helen Dr , Lebanon PA 17042-7493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Nichols, Fred Michael can be contacted via phone (717) 273-8835.Contact Information
Primary practice address
845 Helen Dr
Lebanon PA 17042-7493
Phone: (717) 273-8835
Fax: (717) 202-0100
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MB5813300 | New Jersey |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | FN7479430 | Pennsylvania |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | OS009392L | Pennsylvania |
Profile Details
NPI number | 1982677233 |
---|---|
LBN Legal business name | Nichols, Fred Michael |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 8th, 2006 |
Last updated | Aug 5th, 2022 - about 3 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 | 1982677233 | NPPES |
New Jersey | MEDICAID | 5185700 |
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