Nicholas, Michael L

Nicholas, Michael L is an individual health care provider with primary practice located at 2506 Willowbrook Pkwy Suite 300, Indianapolis IN 46205-1564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Nicholas, Michael L can be contacted via phone (317) 574-1254.

Contact Information

Primary practice address
2506 Willowbrook Pkwy Suite 300 Indianapolis IN 46205-1564
Phone: (317) 574-1254
Fax: (317) 674-0059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01036176A Indiana

Profile Details

NPI number 1124026059
LBN Legal business name Nicholas, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jun 2nd, 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 1124026059 NPPES
Indiana MEDICAID 100353310

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