Individual
DR. CHRISTOPHER TODD NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
119 WATTERSON PKWY, TRUSSVILLE, AL 35173-2307
(872) 231-3162
(702) 977-1496
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
01094928A
IN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
00023044
AL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01094928A
IN
208100000X
Physical Medicine & Rehabilitation Physician
311032
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417915596
AETNA
LA
05
—
1485250
—
LA
05
—
300109470
—
IN
Enumeration date
05/01/2006
Last updated
04/09/2026
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