Nickels, David Andrew

Nickels, David Andrew is an individual health care provider with primary practice located at 2018 Clinch Ave, South Tower 2Nd Floor, Knoxville TN 37916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Nickels, David Andrew can be contacted via phone (865) 971-7400.

Contact Information

Primary practice address
2018 Clinch Ave, South Tower 2Nd Floor Knoxville TN 37916
Fax: (865) 541-8611
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X MD0000026420 Tennessee

Profile Details

NPI number 1861591562
LBN Legal business name Nickels, David Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Feb 20th, 2018 - about 6 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 1861591562 NPPES
Tennessee MEDICAID 3090947
Tennessee Other 3029183

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