Nichols, Shari L

Nichols, Shari L is an individual health care provider with primary practice located at 65 Pennsylvania Ave Suite 200, Binghamton NY 13903-1651. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Nichols, Shari L can be contacted via phone (607) 772-8772.

Contact Information

Primary practice address
65 Pennsylvania Ave Suite 200 Binghamton NY 13903-1651
Phone: (607) 772-8772
Fax: (607) 772-8796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005456 New York

Profile Details

NPI number 1154323194
LBN Legal business name Nichols, Shari L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Dec 27th, 2011 - about 13 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 1154323194 NPPES
New York MEDICAID 01901880

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