Nichols, Jeffrey N.

Nichols, Jeffrey N. is an sole proprietor health care provider with primary practice located at 542 E 5Th St , New York NY 10009-6531. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Nichols, Jeffrey N. can be contacted via phone (212) 358-6255.

Contact Information

Primary practice address
542 E 5Th St New York NY 10009-6531
Fax: (212) 358-6269
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 131897-1 New York
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 131897-1 New York

Profile Details

NPI number 1457562225
LBN Legal business name Nichols, Jeffrey N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Jul 8th, 2007 - about 17 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 1457562225 NPPES
New York MEDICAID 00510178

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