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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013321728 | NPPES |
| Kansas | MEDICAID | 201171720A |
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