Nicholson, Charles P.

Nicholson, Charles P. is an individual health care provider with primary practice located at 6405 France Ave S Suite W440, Edina MN 55435-2163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Nicholson, Charles P. can be contacted via phone (952) 927-7004.

Contact Information

Primary practice address
6405 France Ave S Suite W440 Edina MN 55435-2163
Phone: (952) 927-7004
Fax: (952) 927-5146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 31132 Minnesota
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 31132 Minnesota

Profile Details

NPI number 1114958097
LBN Legal business name Nicholson, Charles P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Mar 8th, 2017 - 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 1114958097 NPPES
Minnesota MEDICAID 335792900
Minnesota Other 770000441

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