Nichols, James Robert

Nichols, James Robert is an individual health care provider with primary practice located at 13838 S 46Th Pl Ste 320, Phoenix AZ 85044-7804. He 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 his primary health care specialty. Nichols, James Robert can be contacted via phone (480) 759-5151.

Contact Information

Primary practice address
13838 S 46Th Pl Ste 320 Phoenix AZ 85044-7804
Phone: (480) 759-5151
Fax: (480) 940-8649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 29489 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29489 Arizona

Profile Details

NPI number 1497746630
LBN Legal business name Nichols, James Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Mar 20th, 2008 - about 18 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 1497746630 NPPES
Arizona MEDICAID 586018
Arizona Other 3981220
Arizona Other AW1436
Arizona Other AZ0728670

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