Nichols, George Richard

Nichols, George Richard is an sole proprietor health care provider with primary practice located at 303 N Keene St Suite 201, Columbia MO 65201-7193. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Nichols, George Richard can be contacted via phone (573) 876-1000.

Contact Information

Primary practice address
303 N Keene St Suite 201 Columbia MO 65201-7193
Fax: (573) 442-7899
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 2008016028 Missouri

Profile Details

NPI number 1073730693
LBN Legal business name Nichols, George Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Mar 4th, 2010 - about 14 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 1073730693 NPPES
Missouri Other 2008016028 STATE LICENSE

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