Nicholson, Jane M

Nicholson, Jane M is an individual health care provider with primary practice located at 4260 Plymouth Rd , Ann Arbor MI 48109-2700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Nicholson, Jane M can be contacted via phone (734) 647-5660.

Contact Information

Primary practice address
4260 Plymouth Rd Ann Arbor MI 48109-2700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301406209 Michigan
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 4301406209 Michigan

Profile Details

NPI number 1295822054
LBN Legal business name Nicholson, Jane M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Sep 30th, 2019 - about 5 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 1295822054 NPPES
Michigan MEDICAID 2686830

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