National Provider Identifier Database

JEREMY R NICOLARSEN, MD – NPI #1891946778
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

JEREMY R NICOLARSEN, MD
2003 KOOTENAI HEALTH WAY
COEUR D'ALENE, ID83814-6051
Phone: 208-625-4000
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X

* Indicates primary specialty

NPI Profile & details for JEREMY R NICOLARSEN

NPI Number 1891946778
Credentials MD
Entity Individual
Enumeration date 10/09/2008
Last updated 10/02/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • ID License #: M13579
Hospital affiliation n/a

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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