Twidale, Nicholas

Twidale, Nicholas is an individual health care provider with primary practice located at 1701 W Avenue A , Elk City OK 73644-3901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Twidale, Nicholas can be contacted via phone (580) 225-6220.

Contact Information

Primary practice address
1701 W Avenue A Elk City OK 73644-3901
Phone: (580) 225-6220
Fax: (580) 225-6399
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 17189 Oklahoma

Profile Details

NPI number 1104886209
LBN Legal business name Twidale, Nicholas
Credentials M.D.,PHD.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jun 6th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104886209 NPPES
Oklahoma MEDICAID 100103330A

Popular Providers