Individual
DR. CARTER J NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34419
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800014
MEDICA DUEL SOLUTIONS
MN
01
—
0824658
MEDICA
MN
01
—
105073
PATIENT CHOICE
MN
01
—
23387
AMERICA'S PPO/TPA
MN
01
—
2F671NI
BLUE CROSS BLUE SHIELD
MN
01
—
960560305008
PREFERRED ONE
MN
01
—
F21442
HEALTH PARTNERS
MN
Enumeration date
02/25/2006
Last updated
07/08/2007
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