Individual
WILLIAM W. NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1229 MADISON ST, SUITE 1440, SEATTLE, WA 98104-3586
(206) 625-0578
(206) 625-9184
Mailing address
1229 MADISON ST, SUITE 1440, SEATTLE, WA 98104-3586
(206) 625-0578
(206) 625-9184
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00028446
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD00028446
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8132441
—
WA
01
—
CD5550
RAILROAD GROUP PTAN
—
01
—
P00625277
RAILROAD MEMBER PTAN
—
Enumeration date
06/03/2006
Last updated
12/02/2008
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