Nicholson, Deborah J
Nicholson, Deborah J is an sole proprietor health care provider with primary practice located at 2 W Rolling Crossroads Suite 104, Catonsville MD 21228-6208. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Nicholson, Deborah J can be contacted via phone (410) 719-9630.Contact Information
Primary practice address
2 W Rolling Crossroads Suite 104
Catonsville MD 21228-6208
Phone: (410) 719-9630
Fax: (410) 719-9672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0033702 | Maryland |
Profile Details
| NPI number | 1063576049 |
|---|---|
| LBN Legal business name | Nicholson, Deborah J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Sep 25th, 2014 - about 12 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 | 1063576049 | NPPES |
| Maryland | MEDICAID | 28361100 |
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