Individual
MICHAEL NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 W CHERYL ST, OSCEOLA, AR 72370-2837
(870) 622-0073
(870) 622-0071
Mailing address
114 W CHERYL ST, OSCEOLA, AR 72370-2837
(870) 622-0073
(870) 622-0071
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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