Nichols, Glenn Robert

Nichols, Glenn Robert is an sole proprietor health care provider with primary practice located at 16 King Philip Ave , South Deerfield MA 01373-1127. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Nichols, Glenn Robert can be contacted via phone (413) 772-6337.

Contact Information

Primary practice address
16 King Philip Ave South Deerfield MA 01373-1127
Phone: (413) 772-6337
Fax: (413) 772-0841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X MA2078 Massachusetts

Profile Details

NPI number 1720100142
LBN Legal business name Nichols, Glenn Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2007
Last updated Jan 18th, 2017 - about 9 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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