Nichols, Timothy P

Nichols, Timothy P is an individual health care provider with primary practice located at 615 N Bonita Ave , Panama City FL 32401-3623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Nichols, Timothy P can be contacted via phone (888) 313-5258.

Contact Information

Primary practice address
615 N Bonita Ave Panama City FL 32401-3623
Phone: (888) 313-5258
Fax: (205) 313-5298
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 72507 Florida

Profile Details

NPI number 1720080229
LBN Legal business name Nichols, Timothy P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jun 8th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720080229 NPPES
Florida MEDICAID 255405400
Florida Other 42672

Popular Providers