Nichols, Joel Lawrence

Nichols, Joel Lawrence is an sole proprietor health care provider with primary practice located at 1444 Massachusetts Ave Suite 103, Troy NY 12180-1600. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Nichols, Joel Lawrence can be contacted via phone (518) 266-1205.

Contact Information

Primary practice address
1444 Massachusetts Ave Suite 103 Troy NY 12180-1600
Phone: (518) 266-1205
Fax: (518) 266-1270
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005539-1 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 056-0000170 Vermont

Profile Details

NPI number 1457469801
LBN Legal business name Nichols, Joel Lawrence
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2006
Last updated Jan 26th, 2011 - about 14 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

Identifiers

StateTypeNumberIssuer
All States NPI 1457469801 NPPES
New York Other 000493808004 BSNENY
New York Other P00237591 BSNENY
New York MEDICAID 02133746 BSNENY
New York Other 10031220 BSNENY
New York Other 699362 BSNENY

Popular Providers