Search › Indiana › 208100000X
Mateo Nicholson, DO
NPI 1659833366 · on the registry since 2019
Practice
- Address
- 2231 Carew St
Fort Wayne, IN 46805 - Phone
- (260) 425-6780
- Fax
- (260) 373-9225
- Organisation at this address
- Parkview Hospital
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 50
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 207R00000X
390200000X
390200000X
390200000X - Licence states on file
- IL, MN, WI, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana