Individual
DR. DAVID NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 526-2200
(304) 399-1507
Mailing address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 526-2200
(304) 399-1507
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1452
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000857496
WV BCBS
WV
01
—
1045606
WV DWC
WV
05
—
1376520643
—
AL
05
—
1376520643
—
WV
05
—
2072386
—
OH
05
—
64942931
—
KY
05
—
Q054110
—
TN
01
—
WV0524A
MEDICARE FOR CHHI
WV
Enumeration date
12/28/2005
Last updated
04/13/2021
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