Nichols, Carrie J.

Nichols, Carrie J. is an individual health care provider with primary practice located at 200 Mercy Circle Family Medicine Dept, Camp Pendleton CA 92058. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Nichols, Carrie J. can be contacted via phone (760) 719-3616.

Contact Information

Primary practice address
200 Mercy Circle Family Medicine Dept Camp Pendleton CA 92058
Phone: (760) 719-3616
Fax: (760) 725-1101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A83442 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A83442 California

Profile Details

NPI number 1407809189
LBN Legal business name Nichols, Carrie J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Feb 7th, 2025 - about last year

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 1407809189 NPPES
California Other A83442 MEDICAL LICENSE
California MEDICAID 00A834420 MEDICAL LICENSE

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