Nichols, Whitney Wallace

Nichols, Whitney Wallace is an individual health care provider with primary practice located at 201 Albert Ave , Scott City KS 67871. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nichols, Whitney Wallace can be contacted via phone (620) 872-2187.

Contact Information

Primary practice address
201 Albert Ave Scott City KS 67871
Phone: (620) 872-2187
Fax: (620) 872-7193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9408294 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 05-38325 Kansas

Profile Details

NPI number 1013321728
LBN Legal business name Nichols, Whitney Wallace
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2014
Last updated Dec 29th, 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 1013321728 NPPES
Kansas MEDICAID 201171720A

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