Nichols, Timothy J
Nichols, Timothy J is an individual health care provider with primary practice located at Hc 63 Box 3560 , Romney WV 26757-9722. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nichols, Timothy J can be contacted via phone (304) 822-4447.Contact Information
Primary practice address
Hc 63 Box 3560
Romney WV 26757-9722
Phone: (304) 822-4447
Fax: (304) 822-7943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3618 | West Virginia |
Profile Details
| NPI number | 1730269267 |
|---|---|
| LBN Legal business name | Nichols, Timothy J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jun 30th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730269267 | NPPES |
| West Virginia | MEDICAID | 3810000198 |
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