Nickell, Michael D.

Nickell, Michael D. is an sole proprietor health care provider with primary practice located at 2040 W. 32Nd St , Joplin MO 64804. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Nickell, Michael D. can be contacted via phone (417) 627-1300.

Contact Information

Primary practice address
2040 W. 32Nd St Joplin MO 64804
Phone: (417) 627-1300
Fax: (417) 627-1357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R9A40 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X R9A40 Missouri

Profile Details

NPI number 1831185206
LBN Legal business name Nickell, Michael D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2005
Last updated Apr 17th, 2009 - about 16 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 1831185206 NPPES
Missouri Other 20896 BNDD

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