Charles P. Nicholson
Surgeon Vascular Surgeon
6405 France Ave S Suite W440
Edina
, Minnesota 55435-2163
Charles P. Nicholson
Surgeon Vascular Surgeon
6405 France Ave S Suite W440
Edina
, Minnesota 55435-2163
(952) 924-5146
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Charles P. Nicholson
- 6405 France Ave S #w440
- Edina, MN
- Zip : 55435-2163
- Fax : (952) 924-5146
- Phone : (952) 927-7004
Second Address
- Charles P. Nicholson
- 6405 France Ave S Suite W440
- Edina, MN
- Zip : 55435-2163
- Fax : (952) 927-5146
- Phone : (952) 927-7004
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 31132 | MN |
| N | 208600000X | Surgeon | 31132 | MN |
| Y | 2086S0129X | Vascular Surgeon | 31132 | MN |
National Provider Identifier
| NPI | 1114958097 |
|---|---|
| Provider Name | Charles P. Nicholson |
| First Address | Edina, MN 55435-2163 |
| Second Address | Edina, MN 55435-2163 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2006 |
| Last Update Date | 08/03/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 335792900 | (05) | MN |
| 770000441 | RAILROAD MEDICARE (01) | MN |
| E63804 | (02) | MN |
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.