Scott A. Nichols
Individual provider Active NPI Counselor · Daleville, IN
NPI 1346599628 · NPPES record last updated Sep 2, 2012
Key facts
- NPI
- 1346599628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 14001 W Main St
Daleville, IN 47334-9361 - Phone
- (303) 834-7083
- NPI assigned
- Sep 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
14001 W Main St
Daleville, IN 47334-9361
Mailing address
14001 W Main St
Daleville, IN 47334-9361
Other providers in Daleville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.