Jonathon K Nicholson, MD
Jonathon K Nicholson, MD is a Pediatric Medicine in Defiance, Ohio. Graduated from Medical College of Ohio in 2002, 24 years ago. Licensed in Michigan and Ohio.
- Years since qualifying
- 24
- Trained at
- Medical College of Ohio
- Licensed in
- MI, OH
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1400 E 2nd St Ste 100Defiance, OH 43512-9905
Phone: (419) 783-3226
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 4301104162 (MI) |
|---|---|
| Adolescent Medicine (Internal Medicine) Physician | Taxonomy 207RA0000X · Licence 35080078 (OH) |
Record details
| NPI number | 1538167572 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 13, 2005 |
| Last updated in NPPES | February 28, 2023 |
| Certification date | February 28, 2023 |
| Mailing address | 1400 E 2nd St Ste 100, Defiance, OH 43512-9905 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Medical school | MEDICAL COLLEGE OF OHIO |
| Graduated | 2002 (24 years in practice) |
| Accepts Medicare assignment | Not indicated |