Individual
DR. CHELSEA ANN NICKOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O., M.B.A.
Contact information
Practice address
405 W GRAND AVE, DAYTON, OH 45405-4720
(937) 723-3248
Mailing address
405 W GRAND AVE, DAYTON, OH 45405-4720
(937) 723-3248
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.011828
OH
208M00000X
Hospitalist Physician
Primary
34.011828
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34.011828
LICENSE
OH
Enumeration date
06/04/2013
Last updated
03/31/2025
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