MEDICARE: DR. WILLIAM FRANCIS NICHOLSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	G47903	CA
2	207RC0000X	Cardiovascular Disease Physician	G47903	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144381278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM FRANCIS NICHOLSON M.D.

Provider Business Mailing Address
First Line	:	2557 MOWRY AVE STE 33
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94538-1614
Country	:	US
Telephone Number	:	510-745-8100
Fax Number	:	510-797-4983

Provider Business Practice Location Address
First Line	:	2557 MOWRY AVE STE 33
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94538-1614
Country	:	US
Telephone Number	:	510-745-8100
Fax Number	:	510-797-4983

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	07/07/2010

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