Nicely, Charles J

Nicely, Charles J is an individual health care provider with primary practice located at 3535 Olentangy River Rd , Columbus OH 43214-3908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Nicely, Charles J can be contacted via phone (614) 566-4945.

Contact Information

Primary practice address
3535 Olentangy River Rd Columbus OH 43214-3908
Phone: (614) 566-4945
Fax: (614) 263-1056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35.065134 Ohio

Profile Details

NPI number 1407858269
LBN Legal business name Nicely, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Nov 11th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407858269 NPPES
Ohio MEDICAID 0926136

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