Nichols, Andrew O
Nichols, Andrew O is an individual health care provider with primary practice located at 57 Bedford St Ste 130, Lexington MA 02420-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nichols, Andrew O can be contacted via phone (781) 862-7500.Contact Information
Primary practice address
57 Bedford St Ste 130
Lexington MA 02420-4500
Phone: (781) 862-7500
Fax: (781) 861-1409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 72779 | Massachusetts |
Profile Details
| NPI number | 1598762858 |
|---|---|
| LBN Legal business name | Nichols, Andrew O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Mar 23rd, 2009 - about 17 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 | 1598762858 | NPPES |
| Massachusetts | MEDICAID | 3074439 |
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