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Individual
DR. JOEL LAWRENCE NICHOLS
Active
Individual
DR. JOEL LAWRENCE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
056-0000170
VT
213E00000X
Podiatrist
Primary
N005539-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000493808004
BSNENY
NY
05
—
02133746
—
NY
01
—
10031220
CDPHP
NY
01
—
699362
MVP
NY
01
—
P00237591
RRMC
NY
Enumeration date
08/27/2006
Last updated
01/26/2011
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