| John C. Nicholson, Md | |
|
2 Crest Rd Saint Albans VT 05478-9753 | |
| (802) 524-4554 | |
| (802) 524-3216 |
| Full Name | John C. Nicholson, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Crest Rd, Saint Albans, Vermont |
| Authorized Official Name and Position | John C Nicholson (PHYSICIAN OWNER) |
| Authorized Official Contact | 8025244554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John C. Nicholson, Md Po Box 1363 Williston VT 05495-1363 Ph: (802) 524-7100 | John C. Nicholson, Md 2 Crest Rd Saint Albans VT 05478-9753 Ph: (802) 524-4554 |
| NPI Number | 1639208903 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639208903 | NPI | - | NPPES |
| 0VN2606 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0420010190 (Vermont) | Primary |
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