Individual
DAVID J NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
765 N HAMILTON RD, GAHANNA, OH 43230-8703
(614) 533-5000
(614) 533-5059
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34008840
OH
207RC0000X
Cardiovascular Disease Physician
Primary
34.008840
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2729908
—
OH
Enumeration date
12/26/2006
Last updated
01/05/2022
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