Nichols, Fred Michael

Nichols, Fred Michael is an individual health care provider with primary practice located at 845 Helen Dr , Lebanon PA 17042-7493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Nichols, Fred Michael can be contacted via phone (717) 273-8835.

Contact Information

Primary practice address
845 Helen Dr Lebanon PA 17042-7493
Phone: (717) 273-8835
Fax: (717) 202-0100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MB5813300 New Jersey
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X FN7479430 Pennsylvania
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OS009392L Pennsylvania

Profile Details

NPI number 1982677233
LBN Legal business name Nichols, Fred Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Aug 5th, 2022 - about 4 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 1982677233 NPPES
New Jersey MEDICAID 5185700

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