Nicholson, Douglas Kelley
Nicholson, Douglas Kelley is an individual health care provider with primary practice located at 1436 Riverchase Blvd , Rock Hill SC 29732-1777. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Nicholson, Douglas Kelley can be contacted via phone (803) 329-2636.Contact Information
Primary practice address
1436 Riverchase Blvd
Rock Hill SC 29732-1777
Phone: (803) 329-2636
Fax: (803) 329-2184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 0717 | South Carolina |
Profile Details
| NPI number | 1649273582 |
|---|---|
| LBN Legal business name | Nicholson, Douglas Kelley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | May 18th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649273582 | NPPES |
| South Carolina | MEDICAID | T00380 |
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