Nichols, Jerome Tak

Nichols, Jerome Tak is an individual health care provider with primary practice located at 2331 Franklin Rd Sw , Roanoke VA 24014-1111. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Nichols, Jerome Tak can be contacted via phone (540) 510-6200.

Contact Information

Primary practice address
2331 Franklin Rd Sw Roanoke VA 24014-1111
Phone: (540) 510-6200
Fax: (540) 857-5306
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 070145 Georgia
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X TP934 Kentucky
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0101261482 Virginia

Profile Details

NPI number 1386842763
LBN Legal business name Nichols, Jerome Tak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2007
Last updated Apr 13th, 2023 - about 2 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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