Nichols, George Richard
Nichols, George Richard is an sole proprietor health care provider with primary practice located at 303 N Keene St Suite 201, Columbia MO 65201-7193. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Nichols, George Richard can be contacted via phone (573) 876-1000.Contact Information
Primary practice address
303 N Keene St Suite 201
Columbia MO 65201-7193
Phone: (573) 876-1000
Fax: (573) 442-7899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 2008016028 | Missouri |
Profile Details
| NPI number | 1073730693 |
|---|---|
| LBN Legal business name | Nichols, George Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Mar 4th, 2010 - about 16 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 | 1073730693 | NPPES |
| Missouri | Other | 2008016028 | STATE LICENSE |
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