Nichols, Robert Kenneth

Nichols, Robert Kenneth is an sole proprietor health care provider with primary practice located at 120 E Main St , Prattville AL 36067-3114. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nichols, Robert Kenneth can be contacted via phone (334) 361-0986.

Contact Information

Primary practice address
120 E Main St Prattville AL 36067-3114
Fax: (334) 361-1134
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 12055 Alabama

Profile Details

NPI number 1013069939
LBN Legal business name Nichols, Robert Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Sep 2nd, 2014 - about 12 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 1013069939 NPPES
Alabama Other C73810 UPNUMBER

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