Nicks, Gregg F.

Nicks, Gregg F. is an individual health care provider with primary practice located at 1225 Fairway Street , Bowling Green KY 42103-2477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Nicks, Gregg F. can be contacted via phone (270) 781-3910.

Contact Information

Primary practice address
1225 Fairway Street Bowling Green KY 42103-2477
Phone: (270) 781-3910
Fax: (270) 842-7177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37824 Kentucky
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 37824 Kentucky

Profile Details

NPI number 1588658272
LBN Legal business name Nicks, Gregg F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jun 18th, 2015 - about 10 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 1588658272 NPPES
Kentucky MEDICAID 64061393
Kentucky Other 080194783

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