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Contact Information

ROBERT K NICHOLS JR, MD
120 E MAIN ST
PRATTVILLE, AL36067-3114
 Phone: 334-361-0986
 Fax: 334-361-1134
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ROBERT K NICHOLS JR · (Male)

NPI Number 1013069939
Status Active
Credentials MD
Entity Individual
Enumeration date 01/18/2007
Last updated 09/02/2014 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 12055
  • AL Other C73810 UPNUMBER
Hospital affiliation(s)
  • PRATTVILLE BAPTIST HOSPITAL - (Acute Care)
    124 S MEMORIAL DR
    PRATTVILLE, AL 36067
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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