Nicks, Gregg F.
Nicks, Gregg F. is an individual health care provider with primary practice located at 1225 Fairway Street , Bowling Green KY 42103-2477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Nicks, Gregg F. can be contacted via phone (270) 781-3910.Contact Information
Primary practice address
1225 Fairway Street
Bowling Green KY 42103-2477
Phone: (270) 781-3910
Fax: (270) 842-7177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37824 | Kentucky |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 37824 | Kentucky |
Profile Details
| NPI number | 1588658272 |
|---|---|
| LBN Legal business name | Nicks, Gregg F. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Jun 18th, 2015 - about 11 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 | 1588658272 | NPPES |
| Kentucky | MEDICAID | 64061393 | |
| Kentucky | Other | 080194783 |
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