Individual
MATTHEW NICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
812 ROBIN HOOD CT, SPRINGDALE, AR 72764-6822
(479) 871-7337
Mailing address
812 ROBIN HOOD CT, SPRINGDALE, AR 72764-6822
(479) 871-7337
Taxonomy
Speciality
Code
Description
License number
State
246Y00000X
Health Information Specialist/Technologist
Primary
RPT2439
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW291
BLUE CROSS/BLUE SHIELD
AR
Enumeration date
05/23/2006
Last updated
07/09/2007
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