Nicolson, Stephen Edwin

Nicolson, Stephen Edwin is an individual health care provider with primary practice located at 1313 21St Ave S Vanderbilt University Medical Center, 1103 Oxford House, Nashville TN 37232-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Psychosomatic Medicine. Allopathic & Osteopathic Physicians / Psychosomatic Medicine is his primary health care specialty. Nicolson, Stephen Edwin can be contacted via phone (615) 875-5838.

Contact Information

Primary practice address
1313 21St Ave S Vanderbilt University Medical Center, 1103 Oxford House Nashville TN 37232-0001
Phone: (615) 875-5838
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 054333 Georgia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 243838 New York
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X 48549 Tennessee

Profile Details

NPI number 1497734461
LBN Legal business name Nicolson, Stephen Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Sep 5th, 2012 - about 14 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 1497734461 NPPES
New York MEDICAID 02896519
New York MEDICAID 2117096

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