Nichols, Scott Richard
Nichols, Scott Richard is an sole proprietor health care provider with primary practice located at 3801 Camden Rd # 22 , Pine Bluff AR 71603-4612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nichols, Scott Richard can be contacted via phone (870) 879-3517.Contact Information
Primary practice address
3801 Camden Rd # 22
Pine Bluff AR 71603-4612
Phone: (870) 879-3517
Fax: (870) 879-6049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C6461 | Arkansas |
Profile Details
| NPI number | 1275577280 |
|---|---|
| LBN Legal business name | Nichols, Scott Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Nov 13th, 2015 - about 9 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 | 1275577280 | NPPES |
| Arkansas | MEDICAID | 110603001 | |
| Arkansas | Other | 4535270 | |
| Arkansas | Other | 13838000000 |
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