Nichols, Jake

Nichols, Jake is an individual health care provider with primary practice located at 41 Walnut St , Natick MA 01760-2848. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Psychiatric, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Psychiatric is his primary health care specialty. Nichols, Jake can be contacted via phone (617) 529-6312.

Contact Information

Primary practice address
41 Walnut St Natick MA 01760-2848
Phone: (617) 529-6312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Psychiatric 1835P1300X 024752 Massachusetts
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 024752 Massachusetts

Profile Details

NPI number 1962731398
LBN Legal business name Nichols, Jake
Credentials PHARM.D., MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2009
Last updated Oct 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962731398 NPPES
Massachusetts Other 024752 MASSACHUSETTS PHARMACY LICENSE

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