Nicholson, David W
Nicholson, David W is an individual health care provider with primary practice located at 479 Heywood Ave , Spartanburg SC 29307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Nicholson, David W can be contacted via phone (864) 583-6381.Contact Information
Primary practice address
479 Heywood Ave
Spartanburg SC 29307
Phone: (864) 583-6381
Fax: (864) 583-6390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 5714 | South Carolina |
Profile Details
| NPI number | 1710923065 |
|---|---|
| LBN Legal business name | Nicholson, David W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Oct 22nd, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710923065 | NPPES |
| South Carolina | Other | P00318197 | RAILROAD MEDICARE INDIVID |
| South Carolina | MEDICAID | 057146 | RAILROAD MEDICARE INDIVID |
| South Carolina | Other | CJ6730 | RAILROAD MEDICARE INDIVID |
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