Alphonso E. Nichols, MD, PLLC
Organization Active NPI Specialist · Jeffersonville, IN
NPI 1972803997 · NPPES record last updated Oct 25, 2010
Key facts
- NPI
- 1972803997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 01061506A (IN)
- Legal business name
- ALPHONSO E. NICHOLS, MD, PLLC
- Practice address
- 2700 Vissing Park Rd
Jeffersonville, IN 47130-5989 - Phone
- (812) 284-8000
- NPI assigned
- Oct 25, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Alphonso E Nichols, M.D.
- Title
- Owner
- Phone
- (502) 817-0927
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 01061506A | IN | Yes |
Addresses
Primary practice location
2700 Vissing Park Rd
Jeffersonville, IN 47130-5989
Mailing address
PO Box 45
La Grange, KY 40031-0045
Phone (502) 817-0927
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2010. 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.