Individual
DR. JONATHAN MATTHEW NICKOLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
9922 N NEVADA ST, SPOKANE, WA 99218-1126
(509) 747-6194
(509) 838-0824
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00044271
WA
208C00000X
Colon & Rectal Surgery Physician
MD00044271
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8449159
—
WA
Enumeration date
05/27/2006
Last updated
11/29/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us