Nichols, Therron Samuel

Nichols, Therron Samuel is an individual health care provider with primary practice located at 1011 Honor Heights Dr , Muskogee OK 74401-1318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Nichols, Therron Samuel can be contacted via phone (918) 577-3075.

Contact Information

Primary practice address
1011 Honor Heights Dr Muskogee OK 74401-1318
Phone: (918) 577-3075
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 3209 Oklahoma

Profile Details

NPI number 1962512830
LBN Legal business name Nichols, Therron Samuel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated May 23rd, 2013 - 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 1962512830 NPPES
Oklahoma MEDICAID 100137570A

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