Nicoll, Daniel Lee

Nicoll, Daniel Lee is an individual health care provider with primary practice located at 601 E 13Th St Suite C, Grove OK 74344-2989. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Nicoll, Daniel Lee can be contacted via phone (918) 786-7878.

Contact Information

Primary practice address
601 E 13Th St Suite C Grove OK 74344-2989
Phone: (918) 786-7878
Fax: (918) 786-7884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3684 Oklahoma
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 3684 Oklahoma

Profile Details

NPI number 1487625505
LBN Legal business name Nicoll, Daniel Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Apr 5th, 2017 - about 9 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 1487625505 NPPES
Oklahoma MEDICAID 100185810C
Oklahoma Other 800522535

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