Nichols, Jesse

Nichols, Jesse is an individual health care provider with primary practice located at 633D Medical Group/Sghc 77 Nealy Ave, Joint Base Langley-Eustis VA 23665-2040. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Nichols, Jesse can be contacted via phone (757) 764-6800.

Contact Information

Primary practice address
633D Medical Group/Sghc 77 Nealy Ave Joint Base Langley-Eustis VA 23665-2040
Phone: (757) 764-6800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0102205683 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34.012968 Ohio

Profile Details

NPI number 1891188892
LBN Legal business name Nichols, Jesse
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2015
Last updated Jul 18th, 2019 - about 6 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.

Request for update

Popular Providers