Nicholson, Thomas J

Nicholson, Thomas J is an individual health care provider with primary practice located at 1703 Innovation Dr Ste 3136 , York PA 17408-8815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Nicholson, Thomas J can be contacted via phone (717) 741-3449.

Contact Information

Primary practice address
1703 Innovation Dr Ste 3136 York PA 17408-8815
Fax: (717) 741-5496
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD069287L Pennsylvania

Profile Details

NPI number 1922081785
LBN Legal business name Nicholson, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Apr 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922081785 NPPES
Pennsylvania MEDICAID 1947440

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