Nichols, Sandra Bruce
Nichols, Sandra Bruce is an sole proprietor health care provider with primary practice located at 12018 Sunrise Valley Dr Suite 400, Reston VA 20191-3432. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Managed Care Organizations / Health Maintenance Organization. Managed Care Organizations / Health Maintenance Organization is her primary health care specialty. Nichols, Sandra Bruce can be contacted via phone (301) 448-6550.Contact Information
Primary practice address
12018 Sunrise Valley Dr Suite 400
Reston VA 20191-3432
Phone: (301) 448-6550
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D60180 | Maryland |
Managed Care Organizations / Health Maintenance Organization | 302R00000X | D60180 | Maryland |
Profile Details
NPI number | 1780967232 |
---|---|
LBN Legal business name | Nichols, Sandra Bruce |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 21st, 2011 |
Last updated | Sep 21st, 2011 - about 14 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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