Nicholson, Mario E

Nicholson, Mario E is an individual health care provider with primary practice located at 6525 Belcrest Road Suite 160, Hyattsville MD 20782-2016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nicholson, Mario E can be contacted via phone (301) 209-6155.

Contact Information

Primary practice address
6525 Belcrest Road Suite 160 Hyattsville MD 20782-2016
Phone: (301) 209-6155
Fax: (301) 209-6206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD21652 District of Columbia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D41747 Maryland

Profile Details

NPI number 1689735144
LBN Legal business name Nicholson, Mario E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Feb 16th, 2023 - about 3 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 1689735144 NPPES
Maryland MEDICAID 182511900

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