Nichols, Stacy L

Nichols, Stacy L is an individual health care provider with primary practice located at 1095 Highway 15 S , Hutchinson MN 55350-5000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Nichols, Stacy L can be contacted via phone (320) 234-5000.

Contact Information

Primary practice address
1095 Highway 15 S Hutchinson MN 55350-5000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 31828 Minnesota

Profile Details

NPI number 1417976127
LBN Legal business name Nichols, Stacy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - about 17 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 1417976127 NPPES
Minnesota MEDICAID 5108055000

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