Nichols, Gary

Nichols, Gary is an individual health care provider with primary practice located at 2455 Summerfield Rd , Santa Rosa CA 95405. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Nichols, Gary can be contacted via phone (707) 308-2815.

Contact Information

Primary practice address
2455 Summerfield Rd Santa Rosa CA 95405
Phone: (707) 308-2815
Fax: (707) 573-5439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 181851 California
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 181851 California
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 181851 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G73872 California

Profile Details

NPI number 1033201587
LBN Legal business name Nichols, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jul 10th, 2019 - about 6 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 1033201587 NPPES
Other CP059Z PTAN
Other G73872 PTAN

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