Dr. Michael Bruce Nicholl
Surgeon Surgical Oncologist
1 Hospital Dr
Columbia
, Missouri 65212-0001
Dr. Michael Bruce Nicholl
Surgeon Surgical Oncologist
1 Hospital Dr
Columbia
, Missouri 65212-0001
(573) 882-2259
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Dr. Michael Bruce Nicholl
- Po Box 7687
- Columbia, MO
- Zip : 65205-7687
- Phone : (573) 882-2259
Second Address
- Dr. Michael Bruce Nicholl
- 1 Hospital Dr
- Columbia, MO
- Zip : 65212-0001
- Fax : (573) 884-6054
- Phone : (573) 882-8454
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Is Dr. Michael Bruce Nicholl a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 2009018162 | MO |
| N | 208600000X | Surgeon | 2009018162 | MO |
| N | 208200000X | Surgeon | A94797 | CA |
| N | 208600000X | Surgeon | A94797 | CA |
| Y | 2086X0206X | Surgical Oncologist | 2009018162 | MO |
| N | 2086X0206X | Surgical Oncologist | A94797 | CA |
National Provider Identifier
| NPI | 1295877876 |
|---|---|
| Provider Name | Dr. Michael Bruce Nicholl |
| First Address | Columbia, MO 65205-7687 |
| Second Address | Columbia, MO 65212-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/02/2007 |
| Last Update Date | 11/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 152360137 | (02) | MO |
| P00760431 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.