Nickels, David
Nickels, David is an sole proprietor health care provider with primary practice located at 800 Rose St Room Hx-315E, Lexington KY 40536-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Nickels, David can be contacted via phone (859) 323-5069.Contact Information
Primary practice address
800 Rose St Room Hx-315E
Lexington KY 40536-0001
Phone: (859) 323-5069
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 43406 | Kentucky |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | R1475 | Kentucky |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 43406 | Kentucky |
Profile Details
| NPI number | 1497909683 |
|---|---|
| LBN Legal business name | Nickels, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2008 |
| Last updated | Aug 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497909683 | NPPES |
| Kentucky | MEDICAID | 7100135410 |
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