Evan A. Nicholas in Philadelphia - Neuromusculoskeletal Medicine & Omm
Evan A. Nicholas - NPI 1457353336
Evan A. Nicholas is a Neuromusculoskeletal Medicine & Omm in Philadelphia, Pennsylvania. Evan A. Nicholas practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine & Omm. The NPI Number for Evan A. Nicholas is 1457353336. The last update date is 2016-02-01.
Evan A. Nicholas's current location address is 4190 City Line Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158716425 and fax number 2158716490. The mailing address for Evan A. Nicholas is 4190 City Line Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evan A. Nicholas |
|---|---|
| Address | 4190 City Line Ave, Philadelphia, Pennsylvania |
| Phone Number | 2158716425 |
| Fax Number | 2158716490 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1457353336 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2016-02-01 |
Provider Mailing Address Detail
| Address | 4190 City Line Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191311626 |
| Phone Number | 2158716425 |
| Fax Number | 2158716490 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine & Omm |
|---|---|
| Taxonomy | 204D00000X |
| Licence No | OS004962L |
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Definition: The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Med |
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What is the Evan A. Nicholas's unique identification number?
The Evan A. Nicholas has been assigned the NPI (National Provider Identifier) Number 1457353336 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Evan A. Nicholas is geographically located?
The Evan A. Nicholas is physically situated at the following location: 4190 City Line Ave, Philadelphia, PA, 191311626.
What is Evan A. Nicholas's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Evan A. Nicholas is Neuromusculoskeletal Medicine & Omm, and the taxonomy code that categorizes this field of expertise is 204D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457353336 to Evan A. Nicholas?
The Centers for Medicare & Medicaid Services assigned the 1457353336 to Evan A. Nicholas on 2005-08-11.
When was the information regarding Evan A. Nicholas most recently updated?
The details pertaining to the Evan A. Nicholas, including its address, specialty, and other relevant information, were last refreshed on 2016-02-01.
NPI Number: 1376546309
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