Nicholas, Alexander S.

Nicholas, Alexander S. is an individual health care provider with primary practice located at 4190 City Line Ave , Philadelphia PA 19131-1626. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Nicholas, Alexander S. can be contacted via phone (215) 871-6425.

Contact Information

Primary practice address
4190 City Line Ave Philadelphia PA 19131-1626
Phone: (215) 871-6425
Fax: (215) 871-6490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X OS003496L Pennsylvania
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X OS003496L Pennsylvania

Profile Details

NPI number 1639171598
LBN Legal business name Nicholas, Alexander S.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Feb 1st, 2016 - about 10 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 1639171598 NPPES
Pennsylvania MEDICAID 000700018

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