Nicholson, Walter Jay
Nicholson, Walter Jay is an individual health care provider with primary practice located at 30 Monument Rd Suite 1100, York PA 17403-5024. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Nicholson, Walter Jay can be contacted via phone (717) 851-2441.Contact Information
Primary practice address
30 Monument Rd Suite 1100
York PA 17403-5024
Phone: (717) 851-2441
Fax: (717) 260-3322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD017640E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD017640E | Pennsylvania |
Profile Details
| NPI number | 1235177189 |
|---|---|
| LBN Legal business name | Nicholson, Walter Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Sep 26th, 2022 - 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 | 1235177189 | NPPES |
| Pennsylvania | MEDICAID | 000696514 | |
| Pennsylvania | Other | 01660801 | |
| Pennsylvania | Other | 0156924 | |
| Pennsylvania | Other | 060013259 |
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