Nickles Fader, Amanda

Nickles Fader, Amanda is an individual health care provider with primary practice located at 6569 N Charles St Suite 306, Baltimore MD 21204-6831. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Nickles Fader, Amanda can be contacted via phone (443) 849-2765.

Contact Information

Primary practice address
6569 N Charles St Suite 306 Baltimore MD 21204-6831
Phone: (443) 849-2765
Fax: (443) 849-2946
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MT179962 Ohio
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X D0069631 Maryland

Profile Details

NPI number 1770750598
LBN Legal business name Nickles Fader, Amanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2008
Last updated Nov 29th, 2011 - about 13 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

Popular Providers