Nichols, Michael L
Nichols, Michael L is an individual health care provider with primary practice located at 500 Keene St Suite 103, Columbia MO 65201-8104. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nichols, Michael L can be contacted via phone (573) 874-2030.Contact Information
Primary practice address
500 Keene St Suite 103
Columbia MO 65201-8104
Phone: (573) 874-2030
Fax: (573) 449-0253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T02342 | Missouri |
Profile Details
| NPI number | 1356301352 |
|---|---|
| LBN Legal business name | Nichols, Michael L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Nov 1st, 2007 - about 18 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 | 1356301352 | NPPES |
| Missouri | Other | 0270770001 | NORIDIAN-DMERC |
| Missouri | Other | 108175 | NORIDIAN-DMERC |
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