Caitlin Nicholson
Family Doctor - Sports Medicine
3737 Market St 9th Floor
Philadelphia
, Pennsylvania 19104-5545
Caitlin Nicholson
Family Doctor - Sports Medicine
3737 Market St 9th Floor
Philadelphia
, Pennsylvania 19104-5545
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Caitlin Nicholson
- 1611 W Harrison St Ste 400
- Chicago, IL
- Zip : 60612-4861
- Phone :
Second Address
- Caitlin Nicholson
- 3737 Market St 9th Floor
- Philadelphia, PA
- Zip : 19104-5545
- Phone : (215) 294-9284
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 336.113308 | IL |
National Provider Identifier
| NPI | 1326579327 |
|---|---|
| Provider Name | Caitlin Nicholson |
| First Address | Chicago, IL 60612-4861 |
| Second Address | Philadelphia, PA 19104-5545 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2017 |
| Last Update Date | 11/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.