Nicholson, Andrew M

Nicholson, Andrew M is an sole proprietor health care provider with primary practice located at 300 S Smyser Rd , Wooster OH 44691-9394. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Nicholson, Andrew M can be contacted via phone (330) 465-7048.

Contact Information

Primary practice address
300 S Smyser Rd Wooster OH 44691-9394
Phone: (330) 465-7048
Fax: (330) 345-3800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X OH 116 Ohio

Profile Details

NPI number 1053331033
LBN Legal business name Nicholson, Andrew M
Credentials MS, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1053331033 NPPES
Ohio Other 2255A2300X SPECIALIST/TECHNOLOGIST-

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