Nichols, Elizabeth

Nichols, Elizabeth is an individual health care provider with primary practice located at 3200 S Airport Rd W 146, Traverse City MI 49684-8117. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Nichols, Elizabeth can be contacted via phone (231) 941-5440.

Contact Information

Primary practice address
3200 S Airport Rd W 146 Traverse City MI 49684-8117
Phone: (231) 941-5440
Fax: (231) 941-0893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X EN002584 Michigan

Profile Details

NPI number 1164407813
LBN Legal business name Nichols, Elizabeth
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Aug 26th, 2016 - about 10 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 1164407813 NPPES
Michigan MEDICAID 1808535

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