Nichol, Brad

Nichol, Brad is an individual health care provider with primary practice located at 1830 Blake Ave #202 Roaring Fork Surgical, Glenwood Springs CO 81601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Nichol, Brad can be contacted via phone (970) 945-6533.

Contact Information

Primary practice address
1830 Blake Ave #202 Roaring Fork Surgical Glenwood Springs CO 81601
Phone: (970) 945-6533
Fax: (970) 945-3945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X CO38600 Colorado

Profile Details

NPI number 1912065756
LBN Legal business name Nichol, Brad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated May 19th, 2011 - about 15 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 1912065756 NPPES
Colorado MEDICAID 30886830

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