Nichols, Grant S

Nichols, Grant S is an individual health care provider with primary practice located at 300 Colorado Ave , Pueblo CO 81004-2006. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Nichols, Grant S can be contacted via phone (719) 543-8711.

Contact Information

Primary practice address
300 Colorado Ave Pueblo CO 81004-2006
Phone: (719) 543-8711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0004492 Colorado
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X

Profile Details

NPI number 1891051223
LBN Legal business name Nichols, Grant S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2012
Last updated Dec 11th, 2015 - about 9 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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