Nicholson, Bruce D.

Nicholson, Bruce D. is an individual health care provider with primary practice located at 1259 S Cedar Crest Blvd Ste 317 , Allentown PA 18103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Nicholson, Bruce D. can be contacted via phone (610) 402-1757.

Contact Information

Primary practice address
1259 S Cedar Crest Blvd Ste 317 Allentown PA 18103
Phone: (610) 402-1757
Fax: (610) 402-9089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD046894L Pennsylvania

Profile Details

NPI number 1669460481
LBN Legal business name Nicholson, Bruce D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Dec 28th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669460481 NPPES
Pennsylvania MEDICAID 0012842940
Pennsylvania Other 0432922-002
Pennsylvania Other 1234452
Pennsylvania Other P2616744
Pennsylvania Other 0559065000
Pennsylvania Other 07721766
Pennsylvania Other 20008174
Pennsylvania Other 30000048
Pennsylvania Other 815211
Pennsylvania Other 1284294
Pennsylvania Other 01216902
Pennsylvania Other 0721766

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