Shawn Edward Nichols, RMT is a
Massage Therapist based in Columbia, Mississippi. Shawn Edward Nichols is licensed to practice in Mississippi (license number MT645) and his current practice location is
433 Broad St, Columbia, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 444-0030.
NPI number for Shawn Edward Nichols is 1750329637 and his current mailing address is 404 S 22nd Ave, Hattiesburg, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750329637.
Healthcare Provider's Profile
| Full Name | Shawn Edward Nichols |
|---|
| Gender | Male |
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| Speciality | Massage Therapist |
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| Location | 433 Broad St, Columbia, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750329637
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Shawn Edward Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750329637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MT645 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shawn Edward Nichols is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shawn Edward Nichols, RMT
404 S 22nd Ave,
Hattiesburg, MS 39401-7315
Ph: (601) 606-6064 | Shawn Edward Nichols, RMT
433 Broad St,
Columbia, MS 39429-3038
Ph: (601) 444-0030 |
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