Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RICHARD JESSE NICHOLSON
Active Sole ProprietorMR. RICHARD JESSE NICHOLSON is a Durable Medical Equipment & Medical Supplies healthcare provider located in LAKE LUZERNE, New York. NPI 1578740247 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · LAKE LUZERNE, NY
Registration Details
- NPI Number
- 1578740247
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2008 (18.573108433622 yrs)
- Last Updated
- Jan 24, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
1041 E RIVER DRLAKE LUZERNE, NY, 128462305Browse NY providers · Browse ZIP 12846
- Phone
- 5189646773
- Fax
- 5189646735
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.