Nichols, Richard D
Nichols, Richard D is an individual health care provider with primary practice located at 515 E Garden St , Lakeland FL 33805-4615. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nichols, Richard D can be contacted via phone (863) 683-5454.Contact Information
Primary practice address
515 E Garden St
Lakeland FL 33805-4615
Phone: (863) 683-5454
Fax: (863) 683-4652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME88932 | Florida |
Profile Details
| NPI number | 1659365161 |
|---|---|
| LBN Legal business name | Nichols, Richard D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Oct 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659365161 | NPPES |
| Florida | Other | 37724 | BCBS |
| Florida | Other | 292845 | BCBS |
| Florida | Other | 4036259 | BCBS |
| Florida | Other | 210792 | BCBS |
| Florida | Other | 239523 | BCBS |
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