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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

BENJAMIN P NICHOLSON, M.D., M.A.
2848 NILES RD
SAINT JOSEPH, MI49085-3352
 Medical school:
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007

 Phone: 269-428-3300
 Fax: 269-428-5005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Retina Specialist

207WX0107X 18 Physician/Ophthalmology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

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

NPI Number 1003016916
Status Active
Credentials M.D., M.A.
Entity Individual
Enumeration date 07/19/2007
Last updated 03/27/2017 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301106941
Hospital affiliation(s)
  • LAKELAND HOSPITAL ST JOSEPH - (Acute Care)
    1234 NAPIER AVENUE
    ST JOSEPH, MI 49085
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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