Nichols, James T

Nichols, James T is an individual health care provider with primary practice located at 1315 Garden St , Titusville FL 32796-3312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nichols, James T can be contacted via phone (321) 268-0128.

Contact Information

Primary practice address
1315 Garden St Titusville FL 32796-3312
Phone: (321) 268-0128
Fax: (321) 268-0668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME30371 Florida

Profile Details

NPI number 1003842048
LBN Legal business name Nichols, James T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003842048 NPPES
Florida Other 05396 BLUE SHIELD

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