Individual
DR. JAMES W NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
697 PRO-MED LN, CARMEL, IN 46032-5323
(317) 587-0055
(317) 674-0059
Mailing address
9615 E 148TH ST, SUITE 1, NOBLESVILLE, IN 46060-4360
(317) 587-0500
(317) 674-0059
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01030670A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006270
—
IN
Enumeration date
08/12/2005
Last updated
06/09/2011
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