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Contact Information

REGGIE A NICHOLS, PA-C
3615 N PRINCE VILLAGE PL STE 121
TUCSON, AZ85719-2034
 Phone: 520-225-0584
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for REGGIE A NICHOLS · (Male)

NPI # 1699325704
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/19/2019
Last updated 12/15/2019 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 7631
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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