Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENJAMIN P NICHOLSON, M.D., M.A.
ActiveDR. BENJAMIN P NICHOLSON, M.D., M.A. is a Sports Medicine (Emergency) healthcare provider located in SAINT JOSEPH, Michigan. NPI 1003016916 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · SAINT JOSEPH, MI
Registration Details
- NPI Number
- 1003016916
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2007 (19.111664008778 yrs)
- Last Updated
- Apr 26, 2023
- Licenses
-
4301106941 (MI)4301106941 (MI)
Practice Information
- Address
-
2848 NILES RDSAINT JOSEPH, MI, 490853352Browse MI providers · Browse ZIP 49085
- Phone
- 2694283300
- Fax
- 2694285005
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
Other Sports Medicine (Emergency) Providers in SAINT JOSEPH, MI
| Name | Credential | NPI |
|---|---|---|
| JASON MIN SO | MD | 1801282249 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.