National Provider Identifier Database

JEFFREY R NICHOLS, DO – NPI #1316334683
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


Contact Information

JEFFREY R NICHOLS, DO
1000 MINERAL POINT AVE
JANESVILLE, WI53548
Phone: 608-756-6611
Fax: 608-756-6177
Website:
Specialty Taxonomy Code
* Emergency Medicine 207P00000X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for JEFFREY R NICHOLS

NPI Number 1316334683
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/23/2015
Last updated 09/12/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 036-144477
  • WI License #: 69172-21
  • WI Medicaid: 1316334683
  • WI Other: 1316334683 BCBSWI
  • WI Other: 4919 MERCYCARE INSURANCE
  • WI Other: K400494086 WI MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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