Nichols, Michael W

Nichols, Michael W is an individual health care provider with primary practice located at 1701 South Blvd E Ste 240, Rochester Hills MI 48307-6122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nichols, Michael W can be contacted via phone (248) 997-7000.

Contact Information

Primary practice address
1701 South Blvd E Ste 240 Rochester Hills MI 48307-6122
Phone: (248) 997-7000
Fax: (248) 997-7007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301066075 Michigan

Profile Details

NPI number 1326020777
LBN Legal business name Nichols, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jan 17th, 2012 - about 14 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 1326020777 NPPES
Michigan MEDICAID 4307580

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