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Contact Information

STEPHEN E NICOLSON, MD
1313 21ST AVE S
VANDERBILT UNIVERSITY MEDICAL CENTER, 1103 OXFORD HOUSE
NASHVILLE, TN37232-0001
 Phone: 615-875-5838
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for STEPHEN E NICOLSON · (Male)

NPI # 1497734461
Status Active
Credentials MD
Entity Individual
Enumeration date 01/10/2006
Last updated 09/05/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 054333
  • NY License # 243838
  • TN License # 48549
  • MA Medicaid 2117096
  • NY Medicaid 02896519
Hospital affiliation(s)
  • JORDAN HOSPITAL INC - (Acute Care)
    275 SANDWICH STREET
    PLYMOUTH, MA 02360
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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