Nicholson, Mario E
Nicholson, Mario E is an individual health care provider with primary practice located at 6525 Belcrest Road Suite 160, Hyattsville MD 20782-2016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nicholson, Mario E can be contacted via phone (301) 209-6155.Contact Information
Primary practice address
6525 Belcrest Road Suite 160
Hyattsville MD 20782-2016
Phone: (301) 209-6155
Fax: (301) 209-6206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD21652 | District of Columbia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D41747 | Maryland |
Profile Details
| NPI number | 1689735144 |
|---|---|
| LBN Legal business name | Nicholson, Mario E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Feb 16th, 2023 - about 2 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 | 1689735144 | NPPES |
| Maryland | MEDICAID | 182511900 |
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