Nichols, Jordan

Nichols, Jordan is an sole proprietor health care provider with primary practice located at 135 N Northwest Hwy , Park Ridge IL 60068-3341. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Nichols, Jordan can be contacted via phone (847) 823-5077.

Contact Information

Primary practice address
135 N Northwest Hwy Park Ridge IL 60068-3341
Fax: (847) 823-0371
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0160003281 Illinois

Profile Details

NPI number 1982684601
LBN Legal business name Nichols, Jordan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2006
Last updated Dec 5th, 2014 - about 7 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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