Nichols, J Timothy

Nichols, J Timothy is an individual health care provider with primary practice located at 101 N Girls School Rd , Indianapolis IN 46214-3963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nichols, J Timothy can be contacted via phone (317) 247-0201.

Contact Information

Primary practice address
101 N Girls School Rd Indianapolis IN 46214-3963
Phone: (317) 247-0201
Fax: (317) 481-6756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02000537A Indiana

Profile Details

NPI number 1578569695
LBN Legal business name Nichols, J Timothy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jun 11th, 2015 - about 11 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 1578569695 NPPES
Indiana Other 000000081248 BLUE CROSS BLUE SHIELD
Indiana MEDICAID 100062200 BLUE CROSS BLUE SHIELD
Indiana Other P01391909 BLUE CROSS BLUE SHIELD

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