Nicholson, John
Nicholson, John is an individual health care provider with primary practice located at 728 Hartness Rd , Statesville NC 28677-3425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nicholson, John can be contacted via phone (704) 230-4382.Contact Information
Primary practice address
728 Hartness Rd
Statesville NC 28677-3425
Phone: (704) 230-4382
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36236 | North Carolina |
Profile Details
| NPI number | 1497723795 |
|---|---|
| LBN Legal business name | Nicholson, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Mar 29th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497723795 | NPPES |
| North Carolina | MEDICAID | 8962581 |
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