Nichols, Shari L
Nichols, Shari L is an individual health care provider with primary practice located at 65 Pennsylvania Ave Suite 200, Binghamton NY 13903-1651. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Nichols, Shari L can be contacted via phone (607) 772-8772.Contact Information
Primary practice address
65 Pennsylvania Ave Suite 200
Binghamton NY 13903-1651
Phone: (607) 772-8772
Fax: (607) 772-8796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N005456 | New York |
Profile Details
| NPI number | 1154323194 |
|---|---|
| LBN Legal business name | Nichols, Shari L |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Dec 27th, 2011 - about 15 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 | 1154323194 | NPPES |
| New York | MEDICAID | 01901880 |
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