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
Fax: (717) 260-3322
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235177189 NPPES
Pennsylvania MEDICAID 000696514
Pennsylvania Other 01660801
Pennsylvania Other 0156924
Pennsylvania Other 060013259

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