Countryman, Nicholas B

Countryman, Nicholas B is an sole proprietor health care provider with primary practice located at 7910 N Shadeland Ave , Indianapolis IN 46250-2041. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Countryman, Nicholas B can be contacted via phone (317) 516-5000.

Contact Information

Primary practice address
7910 N Shadeland Ave Indianapolis IN 46250-2041
Phone: (317) 516-5000
Fax: (317) 516-5146
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2009-00203 North Carolina
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 01069284A Indiana
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 2009-00203 North Carolina
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01069284A Indiana

Profile Details

NPI number 1538327309
LBN Legal business name Countryman, Nicholas B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2008
Last updated Apr 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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