Nichols, Richard D

Nichols, Richard D is an individual health care provider with primary practice located at 515 E Garden St , Lakeland FL 33805-4615. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nichols, Richard D can be contacted via phone (863) 683-5454.

Contact Information

Primary practice address
515 E Garden St Lakeland FL 33805-4615
Phone: (863) 683-5454
Fax: (863) 683-4652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME88932 Florida

Profile Details

NPI number 1659365161
LBN Legal business name Nichols, Richard D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Oct 30th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659365161 NPPES
Florida Other 37724 BCBS
Florida Other 292845 BCBS
Florida Other 4036259 BCBS
Florida Other 210792 BCBS
Florida Other 239523 BCBS

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