Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4516 | KY |
N | 111N00000X | Chiropractor | 717 | WV |
N | 111NS0005X | Chiropractic Sports Physician | 717 | WV |
NPI | 1245358258 |
---|---|
Provider Name | Dr. William Eugene Nichols JR. |
First Address | Ashland, KY 41105-2379 |
Second Address | Ashland, KY 41101-2845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 19/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000064672 | ANTHEM (01) | KY |
000000064672 | KENTUCKY ACCESS (01) | KY |
001711779 | MOUNTAIN ST. BLUE CROSS (01) | KY |
1178496 | CHA (01) | KY |
611347870 | CIGNA (01) | KY |
611347870 | COMPMANAGEMENT HEALTH (01) | KY |
611347870 | HUMANA (01) | KY |
611347870 | MANSBACH METAL CO. (01) | WV |
611347870 | UNITED HEALTH CARE (01) | KY |
611347879 | MEDICAL MUTUAL (01) | KY |
7356029 | AETNA (01) | KY |
85000701 | (05) | KY |