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Contact Information

MICHAEL P NICHOLSON, DO
1410 SW TRADITION DR
STE 120
ANKENY, IA50023
 Phone: 515-875-9040
 Fax: 515-875-9041
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICHAEL P NICHOLSON · (Male)

NPI # 1407169097
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/23/2010
Last updated 01/02/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IA License # DO-04291
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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