Michael Nichols is a Medical in Salem, Virginia. Michael Nichols practices all healthcare services and medical treatments related to Medical. The NPI Number for Michael Nichols is 1114998895. The last update date is 2008-05-02.
Michael Nichols's current location address is 1970 Roanoke Blvd, Salem, Virginia. You can contact this provider via phone number 5409822463 and fax number 5402241948. The mailing address for Michael Nichols is 1970 Roanoke Blvd, Salem, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Nichols |
|---|---|
| Address | 1970 Roanoke Blvd, Salem, Virginia |
| Phone Number | 5409822463 |
| Fax Number | 5402241948 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1114998895 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2008-05-02 |
Provider Mailing Address Detail
| Address | 1970 Roanoke Blvd |
|---|---|
| City | Salem |
| State | Virginia (VA) |
| Post Code | 241536404 |
| Phone Number | 5409822463 |
| Fax Number | 5402241948 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 110840493 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10110904 | VA | -- |
Post Comment/ Review Below
What is the Michael Nichols's unique identification number?
The Michael Nichols has been assigned the NPI (National Provider Identifier) Number 1114998895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Michael Nichols's facilities are situated?
The facilities of Michael Nichols are physically located at the following address: 1970 Roanoke Blvd, Salem, VA, 241536404.
What is Michael Nichols's area of expertise and its corresponding taxonomy classification?
The Michael Nichols's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Michael Nichols receive its 1114998895 assignment from the Centers for Medicare & Medicaid Services?
The Michael Nichols was assigned its 1114998895 by the Centers for Medicare & Medicaid Services on 2006-01-30.
As of what date were the Michael Nichols's details last updated?
The information pertaining to the Michael Nichols, including its address, specialty, and other details, was most recently updated on 2008-05-02.