Nichols, Frederick Scott

Nichols, Frederick Scott is an sole proprietor health care provider with primary practice located at 27472 Schoenherr Rd Ste #150, Warren MI 48088-6688. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Nichols, Frederick Scott can be contacted via phone (586) 393-7777.

Contact Information

Primary practice address
27472 Schoenherr Rd Ste #150 Warren MI 48088-6688
Fax: (586) 777-1533
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101016827 Michigan

Profile Details

NPI number 1245354141
LBN Legal business name Nichols, Frederick Scott
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2007
Last updated Apr 18th, 2012 - about 13 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 1245354141 NPPES
Michigan MEDICAID 1245354141

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