Nichols, Glenn W
Nichols, Glenn W is an individual health care provider with primary practice located at 200 Medical Pkwy Suite 111, Chesapeake VA 23320-4911. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nichols, Glenn W can be contacted via phone (757) 547-9301.Contact Information
Primary practice address
200 Medical Pkwy Suite 111
Chesapeake VA 23320-4911
Phone: (757) 547-9301
Fax: (757) 548-9263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101036679 | Virginia |
Profile Details
| NPI number | 1831167675 |
|---|---|
| LBN Legal business name | Nichols, Glenn W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831167675 | NPPES |
| Virginia | Other | 140351 | BLUE CROSS BLUE SHIELD |
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