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Contact Information

ALEXANDER S NICHOLAS, DO
4190 CITY LINE AVE
PHILADELPHIA, PA19131-1626
 Phone: 215-871-6425
 Fax: 215-871-6490
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ALEXANDER S NICHOLAS · (Male)

NPI Number 1639171598
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/11/2005
Last updated 02/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • PA License # OS003496L
  • PA Medicaid 000700018
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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