Jonathon K Nicholson in Defiance - Adolescent Medicine
Jonathon K Nicholson - NPI 1538167572
Jonathon K Nicholson is a Adolescent Medicine in Defiance, Ohio. Jonathon K Nicholson practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Jonathon K Nicholson is 1538167572. The last update date is 2023-02-28.
Jonathon K Nicholson's current location address is 1400 E 2nd St Ste 100, Defiance, Ohio. You can contact this provider via phone number 4197833226 and fax number 9893568132. The mailing address for Jonathon K Nicholson is 1400 E 2nd St Ste 100, Defiance, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathon K Nicholson |
|---|---|
| Address | 1400 E 2nd St Ste 100, Defiance, Ohio |
| Phone Number | 4197833226 |
| Fax Number | 9893568132 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538167572 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2023-02-28 |
Provider Mailing Address Detail
| Address | 1400 E 2nd St Ste 100 |
|---|---|
| City | Defiance |
| State | Ohio (OH) |
| Post Code | 435129905 |
| Phone Number | 4197833226 |
| Fax Number | 9893568132 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Ra0000X |
| Licence No | 35080078 |
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Definition: An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10639 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jonathon K Nicholson by the Centers for Medicare & Medicaid Services (CMS)?
The Jonathon K Nicholson has been assigned the NPI (National Provider Identifier) 1538167572. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jonathon K Nicholson?
The Jonathon K Nicholson is physically situated at 1400 E 2Nd St Ste 100, in the city of Defiance, state of OH, with the postal code 435129905.
What is the Jonathon K Nicholson's specialty and taxonomy code?
The Jonathon K Nicholson's specialty is Adolescent Medicine, and the corresponding taxonomy code is 207Ra0000X.
What is the area of specialization for Jonathon K Nicholson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jonathon K Nicholson is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Ra0000X.
When was the Jonathon K Nicholson's 1538167572 issued?
The Jonathon K Nicholson's 1538167572 was issued on 2005-07-13.