Nichols, Luke O

Nichols, Luke O is an individual health care provider with primary practice located at 9211 E 21St St N , Wichita KS 67206-2968. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Nichols, Luke O can be contacted via phone (316) 609-4400.

Contact Information

Primary practice address
9211 E 21St St N Wichita KS 67206-2968
Phone: (316) 609-4400
Fax: (316) 634-4040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27107 Kansas

Profile Details

NPI number 1013947530
LBN Legal business name Nichols, Luke O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Feb 7th, 2015 - about 10 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 1013947530 NPPES
Kansas MEDICAID 100335940B
Kansas Other 81682
Kansas Other 102900
Kansas Other 12149442
Kansas Other 101029
Kansas Other 11984

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