Mr. Phillip Todd Nichols
Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck)
500 Donnally St Suite 200
Charleston
, West Virginia 25301-1648
Mr. Phillip Todd Nichols
Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck)
500 Donnally St Suite 200
Charleston
, West Virginia 25301-1648
(304) 340-2204
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Mr. Phillip Todd Nichols
- Po Box 1628
- Charleston, WV
- Zip : 25326-1628
- Fax : (304) 340-2204
- Phone : (304) 342-0124
Second Address
- Mr. Phillip Todd Nichols
- 500 Donnally St Suite 200
- Charleston, WV
- Zip : 25301-1648
- Fax : (304) 340-2204
- Phone : (304) 342-0124
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FAQs
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Is Mr. Phillip Todd Nichols a sole practitioner?
Is Mr. Phillip Todd Nichols accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101273372 | VA |
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 19053 | WV |
| N | 207YX0007X | Plastic Surgeon (Head & Neck) | 0101273372 | VA |
National Provider Identifier
| NPI | 1396744652 |
|---|---|
| Provider Name | Mr. Phillip Todd Nichols |
| First Address | Charleston, WV 25326-1628 |
| Second Address | Charleston, WV 25301-1648 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2005 |
| Last Update Date | 30/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0300079000 | (05) | WV |
| 040014129 | RR MEDICARE (01) | WV |
| 1157768001 | CIGNA (01) | WV |
| 550595497023 | BC/BS (01) | WV |
| 7979026 | AETNA (01) | WV |
| G96514 | (02) |
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.