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Contact Information

JONATHAN R NICHOL, DO
333 N 300 W
SALT LAKE CITY, UT84103-1215
 Phone: 801-463-7415
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JONATHAN R NICHOL · (Male)

NPI Number 1679940332
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/28/2015
Last updated 07/06/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 009150
  • CA License # 20A16120
Hospital affiliation(s)
  • BANNER BAYWOOD MEDICAL CENTER - (Acute Care)
    6644 EAST BAYWOOD AVENUE
    MESA, AZ 85206
  • DESERT REGIONAL MEDICAL CENTER - (Acute Care)
    1150 NORTH INDIAN CANYON DRIVE
    PALM SPRINGS, CA 92262
  • ST MARKS HOSPITAL - (Acute Care)
    1200 EAST 3900 SOUTH
    SALT LAKE CITY, UT 84124
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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