Nichols, Shawnn D

Nichols, Shawnn D is an individual health care provider with primary practice located at 3551 Roger Brooke Dr Poc Ms Sylvia Liserio, Fort Sam Houston TX 78234-4504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Nichols, Shawnn D can be contacted via phone (210) 916-3334.

Contact Information

Primary practice address
3551 Roger Brooke Dr Poc Ms Sylvia Liserio Fort Sam Houston TX 78234-4504
Phone: (210) 916-3334
Fax: (210) 916-2202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 36084412 Ohio
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 35.084414 Ohio

Profile Details

NPI number 1164412094
LBN Legal business name Nichols, Shawnn D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2005
Last updated Jun 12th, 2019 - about 5 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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