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1902919301

NPI Code Detail

MEDICARE: DR. CHRISTOPHER WILLIAM NICHOLS MD

MEDICARE: DR. CHRISTOPHER WILLIAM NICHOLS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084V0102X	Vascular Neurology Physician	DR.0047802	CO
2	2084N0400X	Neurology Physician	DR.0047802	CO
3	2084N0400X	Neurology Physician	MD227336	OR
4	2085N0700X	Neuroradiology Physician	DR.0047802	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902919301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER WILLIAM NICHOLS MD

Provider Business Mailing Address
First Line	:	11750 W 2ND PL STE 255
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-1726
Country	:	US
Telephone Number	:	720-321-8040
Fax Number	:	720-321-8041

Provider Business Practice Location Address
First Line	:	11750 W 2ND PL STE 255
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-1726
Country	:	US
Telephone Number	:	720-321-8040
Fax Number	:	720-321-8041

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	01/29/2026

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Directions to “ DR. CHRISTOPHER WILLIAM NICHOLS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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