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
Phone: (865) 971-7400
Fax: (865) 541-8611
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861591562 | NPPES |
Tennessee | MEDICAID | 3090947 | |
Tennessee | Other | 3029183 |
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