Individual
JOSEPH NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 PIEDMONT AVE, SUITE 3200, CINCINNATI, OH 45219
(513) 475-8730
(513) 475-8033
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-0001
(513) 585-5504
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35061511
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920721
—
OH
Enumeration date
06/26/2006
Last updated
11/13/2017
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