Nicholson, David W

Nicholson, David W is an individual health care provider with primary practice located at 479 Heywood Ave , Spartanburg SC 29307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Nicholson, David W can be contacted via phone (864) 583-6381.

Contact Information

Primary practice address
479 Heywood Ave Spartanburg SC 29307
Phone: (864) 583-6381
Fax: (864) 583-6390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 5714 South Carolina

Profile Details

NPI number 1710923065
LBN Legal business name Nicholson, David W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Oct 22nd, 2007 - about 18 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 1710923065 NPPES
South Carolina Other P00318197 RAILROAD MEDICARE INDIVID
South Carolina MEDICAID 057146 RAILROAD MEDICARE INDIVID
South Carolina Other CJ6730 RAILROAD MEDICARE INDIVID

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