Nichols, William

Nichols, William is an individual health care provider with primary practice located at 12940 Harriet Ave S , Burnsville MN 55337-2680. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Nichols, William can be contacted via phone (952) 830-4061.

Contact Information

Primary practice address
12940 Harriet Ave S Burnsville MN 55337-2680
Phone: (952) 830-4061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 360 Minnesota
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 360 Minnesota

Profile Details

NPI number 1518962091
LBN Legal business name Nichols, William
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Feb 18th, 2013 - about 12 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 1518962091 NPPES
Minnesota Other 106186 UCARE
Minnesota Other 0708630001 UCARE
Minnesota Other 2728397 UCARE
Minnesota Other 64D27NI UCARE
Minnesota MEDICAID 113225300 UCARE
Minnesota Other HP14063 UCARE
Minnesota Other 980740974001 UCARE

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