Nichols, Walter Kirt

Nichols, Walter Kirt is an individual health care provider with primary practice located at One Hospital Drive , Columbia MO 65212-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Nichols, Walter Kirt can be contacted via phone (573) 882-1308.

Contact Information

Primary practice address
One Hospital Drive Columbia MO 65212-0001
Phone: (573) 882-1308
Fax: (573) 884-5049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MDR5328 Missouri

Profile Details

NPI number 1811934540
LBN Legal business name Nichols, Walter Kirt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Oct 2nd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811934540 NPPES
Missouri MEDICAID 200468908
Missouri Other P00415659
Missouri Other 770000391

Popular Providers