Nichols, Marcus Lee
Nichols, Marcus Lee is an sole proprietor health care provider with primary practice located at 802 Wayne St Suite 206, Marietta OH 45750-3300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Nichols, Marcus Lee can be contacted via phone (740) 373-7999.Contact Information
Primary practice address
802 Wayne St Suite 206
Marietta OH 45750-3300
Phone: (740) 373-7999
Fax: (740) 373-3151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34-00-8658 | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34-00-8658 | Ohio |
Profile Details
| NPI number | 1750350559 |
|---|---|
| LBN Legal business name | Nichols, Marcus Lee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Aug 10th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750350559 | NPPES |
| Ohio | MEDICAID | 2612579 | |
| Ohio | MEDICAID | 3810005284 |
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