Mcnickle, Lori

Mcnickle, Lori is an individual health care provider with primary practice located at 4663 Whipple Ave Nw , Canton OH 44718-2615. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, which is considered as her primary health care specialty. Mcnickle, Lori can be contacted via phone (330) 479-0020.

Contact Information

Primary practice address
4663 Whipple Ave Nw Canton OH 44718-2615
Phone: (330) 479-0020
Fax: (330) 493-5759
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist 224L00000X LPED32 Ohio

Profile Details

NPI number 1861733396
LBN Legal business name Mcnickle, Lori
Credentials CPED, RFOM
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2013
Last updated Mar 7th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861733396 NPPES
Ohio MEDICAID 2002862

Popular Providers