Individual
DR. DONALD EDWARD NICOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
174400000X
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000046870
HMSA
HI
01
—
04242601
ALOHACARE
HI
05
—
04242601
—
HI
01
—
1053367284
TRI-CARE
HI
01
—
H0000BDGNM
MEDICARE
HI
Enumeration date
05/26/2006
Last updated
01/22/2013
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