Nichols, Jordan
Nichols, Jordan is an sole proprietor health care provider with primary practice located at 135 N Northwest Hwy , Park Ridge IL 60068-3341. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Nichols, Jordan can be contacted via phone (847) 823-5077.Contact Information
Primary practice address
135 N Northwest Hwy
Park Ridge IL 60068-3341
Phone: (847) 823-5077
Fax: (847) 823-0371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 0160003281 | Illinois |
Profile Details
| NPI number | 1982684601 |
|---|---|
| LBN Legal business name | Nichols, Jordan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Dec 5th, 2014 - about 10 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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