Jerome Tak Nichols in Roanoke - Sports Medicine
Jerome Tak Nichols - NPI 1386842763
Jerome Tak Nichols is a Sports Medicine in Roanoke, Virginia. Jerome Tak Nichols practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jerome Tak Nichols is 1386842763. The last update date is 2023-04-13.
Jerome Tak Nichols's current location address is 2331 Franklin Rd Sw, Roanoke, Virginia. You can contact this provider via phone number 5405106200 and fax number 5408575306. The mailing address for Jerome Tak Nichols is 2331 Franklin Rd Sw, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Tak Nichols |
|---|---|
| Address | 2331 Franklin Rd Sw, Roanoke, Virginia |
| Phone Number | 5405106200 |
| Fax Number | 5408575306 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386842763 |
|---|---|
| Provider Enumeration Date | 2007-07-06 |
| Last Updated Date | 2023-04-13 |
Provider Mailing Address Detail
| Address | 2331 Franklin Rd Sw |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240141111 |
| Phone Number | 5405106200 |
| Fax Number | 5408575306 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 70145 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jerome Tak Nichols?
The Jerome Tak Nichols has been issued the NPI (National Provider Identifier) 1386842763 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jerome Tak Nichols is geographically located?
The Jerome Tak Nichols is physically situated at the following location: 2331 Franklin Rd Sw, Roanoke, VA, 240141111.
What is Jerome Tak Nichols's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerome Tak Nichols is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Qs0010X.
When was the Jerome Tak Nichols's 1386842763 issued?
The Jerome Tak Nichols's 1386842763 was issued on 2007-07-06.
As of what date was the information regarding Jerome Tak Nichols, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerome Tak Nichols, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-04-13.