Jourdan Clive Nicholls in Kennewick - Podiatrist
Jourdan Clive Nicholls - NPI 1578601720
Jourdan Clive Nicholls is a Podiatrist in Kennewick, Washington. Jourdan Clive Nicholls practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jourdan Clive Nicholls is 1578601720. The last update date is 2013-07-30.
Jourdan Clive Nicholls's current location address is 7103 W Grandridge Blvd, Kennewick, Washington. You can contact this provider via phone number 5095822057 and fax number 5093744945. The mailing address for Jourdan Clive Nicholls is 7103 W Grandridge Blvd, Kennewick, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jourdan Clive Nicholls |
|---|---|
| Address | 7103 W Grandridge Blvd, Kennewick, Washington |
| Phone Number | 5095822057 |
| Fax Number | 5093744945 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1578601720 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2013-07-30 |
Provider Mailing Address Detail
| Address | 7103 W Grandridge Blvd |
|---|---|
| City | Kennewick |
| State | Washington (WA) |
| Post Code | 993366713 |
| Phone Number | 5095822057 |
| Fax Number | 5093744945 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | PO549 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89978401 | WA | LABOR & INDUST | |
| 1101377 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jourdan Clive Nicholls by the Centers for Medicare & Medicaid Services?
The Jourdan Clive Nicholls has been issued the NPI (National Provider Identifier) 1578601720. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jourdan Clive Nicholls?
The Jourdan Clive Nicholls is situated at 7103 W Grandridge Blvd, in the city of Kennewick, state of WA, with the zip code 993366713.
What is the Jourdan Clive Nicholls's specialty and taxonomy code?
The Jourdan Clive Nicholls's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
On what date did Jourdan Clive Nicholls receive its 1578601720 assignment from the Centers for Medicare & Medicaid Services?
The Jourdan Clive Nicholls was assigned its 1578601720 on 2007-02-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jourdan Clive Nicholls most recently updated?
The details pertaining to the Jourdan Clive Nicholls, including its address, specialty, and other relevant information, were last refreshed on 2013-07-30.