Individual
DR. VICTOR T NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 MCKNIGHT DRIVE, MIDDLETOWN, OH 45044-4898
(513) 424-2111
(513) 420-5662
Mailing address
PO BOX 640929, CINCINNATI, OH 45264-0929
(513) 727-0748
(937) 293-0960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35053137N
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35053137
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000015848
ANTHEM
OH
05
—
0628182
—
OH
01
—
2020092
UNITED HEALTHCARE
OH
Enumeration date
07/07/2006
Last updated
09/11/2025
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