Nichols, Robert R

Nichols, Robert R is an individual health care provider with primary practice located at 403 Woodland Hills Blvd , Fort Scott KS 66701-8798. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nichols, Robert R can be contacted via phone (620) 223-8040.

Contact Information

Primary practice address
403 Woodland Hills Blvd Fort Scott KS 66701-8798
Phone: (620) 223-8040
Fax: (620) 223-8524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0417312 Kansas

Profile Details

NPI number 1891776209
LBN Legal business name Nichols, Robert R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Jan 15th, 2008 - about 16 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 1891776209 NPPES
Kansas MEDICAID 100165410B

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