Nichols, Trent L

Nichols, Trent L is an individual health care provider with primary practice located at 1 Medical Center Blvd Suite 103, Cookeville TN 38501-4294. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Nichols, Trent L can be contacted via phone (931) 783-2770.

Contact Information

Primary practice address
1 Medical Center Blvd Suite 103 Cookeville TN 38501-4294
Phone: (931) 783-2770
Fax: (931) 525-1176
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 18410 Tennessee

Profile Details

NPI number 1467532085
LBN Legal business name Nichols, Trent L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated May 15th, 2017 - about 7 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 1467532085 NPPES
Tennessee Other 4352400 BCBS
Tennessee MEDICAID 3047248 BCBS
Tennessee MEDICAID 64795180 BCBS

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