Doctor Name: | MR. PAUL LAWRENCE NICHOLS |
NPI Number: | 1548499924 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BMET |
License Number: | 599710 |
Business Practice Address: | 1424 Cedar St Helena, MT - 596011019 |
Business Phone Number: | 4064951060 |
Business Fax Number: | 4064951060 |
Mailing Address: | 1424 Cedar St, HELENA |
State: | MT |
Postal Code: | 596011019 |
Phone Number: | 4064951060 |
Fax Number: | 4064951060 |
NPI Enumeration Date: | 07/07/2009 |
NPI Last Update Date: | 07/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 599710 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |