Nichols, William Patrick

Nichols, William Patrick is an individual health care provider with primary practice located at 970 Lakeland Dr Ste 61 , Jackson MS 39216-4682. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Nichols, William Patrick can be contacted via phone (601) 982-7850.

Contact Information

Primary practice address
970 Lakeland Dr Ste 61 Jackson MS 39216-4682
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25101 Mississippi
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 25101 Mississippi

Profile Details

NPI number 1306258330
LBN Legal business name Nichols, William Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2014
Last updated Nov 15th, 2023 - about 2 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 1306258330 NPPES
Mississippi MEDICAID 09872218
Mississippi Other 1Q4772
Mississippi Other 25101
Mississippi MEDICAID 8855561

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