NPI 1568818458

Michael Nichols

Practitioner Private Vehicle Osceola, AR

Practice location

Address: 114 W Cheryl St, Osceola, AR 72370-2837
Phone: (870) 622-0073
Fax: (870) 622-0071

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1568818458
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2016
Record last updated: 10 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.