Jonathon K Nicholson
MD | Pediatrics | Male
Jonathon K Nicholson, MD is a Defiance, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jonathon K Nicholson is
1400 E 2nd St Ste 100, Defiance, Ohio - 43512-9905. He can be contacted on phone at
419-783-3226.
Jonathon K Nicholson is a sole proprietor of his business.
NPI number (Unique professional ID) for Jonathon K Nicholson is
1538167572 which was assigned by NPPES on 13 Jul, 2005 and it was last updated on 28 Feb, 2023.
Jonathon K Nicholson license number is
4301104162 for Pediatrics (208000000X) in Michigan.
Jonathon K Nicholson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jonathon K Nicholson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jonathon K Nicholson |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jonathon K Nicholson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1400 E 2nd St Ste 100
Defiance, OH, 43512-9905
United States |
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| Phone Number : | 419-783-3226 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1538167572 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Jul, 2005 |
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| Last Updated On : | 28 Feb, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jonathon K Nicholson are as mentioned. Primary taxonomy code for Jonathon K Nicholson, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207RA0000X | Internal Medicine, Adolescent Medicine | No | 35080078 | OH |
| 208000000X | Pediatrics | Yes | 4301104162 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Jonathon K Nicholson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0010639 | MEDICAID | OH | |
| H62781 | MEDICARE UPIN | OH | |
| NI4083201 | MEDICARE ID-Type Unspecified | OH | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1400 E 2nd St Ste 100
Defiance, OH, 43512-9905
United States |
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| Phone Number : | 419-783-3226 |
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| Fax Number : | 989-356-8132 |
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Business Location:
Patients can refer following map for directions to
Jonathon K Nicholson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.