Individual
NICHOLAS EDMUND FOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8433 HARCOURT RD STE 200, INDIANAPOLIS, IN 46260-2195
(317) 338-7800
Mailing address
8433 HARCOURT RD STE 200, INDIANAPOLIS, IN 46260-2195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01035320A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100068300
—
IN
Enumeration date
11/22/2005
Last updated
08/29/2024
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