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Contact Information

MICHAEL D NICKELL, MD
2040 W. 32ND ST
JOPLIN, MO64804
 Phone: 417-627-1300
 Fax: 417-627-1357
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MICHAEL D NICKELL · (Male)

NPI # 1831185206
Status Active
Credentials MD
Entity Individual
Enumeration date 09/21/2005
Last updated 04/17/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # R9A40
  • MO Other 20896 BNDD
Hospital affiliation(s) Not Available
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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