Nichols, Courtney G

Nichols, Courtney G is an sole proprietor health care provider with primary practice located at 27378 W Oviatt Rd , Bay Village OH 44140-2139. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Nichols, Courtney G can be contacted via phone (440) 871-4700.

Contact Information

Primary practice address
27378 W Oviatt Rd Bay Village OH 44140-2139
Phone: (440) 871-4700
Fax: (440) 871-4702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36-00-3269-N Ohio

Profile Details

NPI number 1699713552
LBN Legal business name Nichols, Courtney G
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Nov 5th, 2007 - about 17 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 1699713552 NPPES
Ohio MEDICAID 2294324

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