Nicol, Theodore H

Nicol, Theodore H is an individual health care provider with primary practice located at 500 S Cleveland Ave , Westerville OH 43081-8971. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Nicol, Theodore H can be contacted via phone (614) 898-6659.

Contact Information

Primary practice address
500 S Cleveland Ave Westerville OH 43081-8971
Phone: (614) 898-6659
Fax: (614) 898-8631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X COA.01738-NA Ohio

Profile Details

NPI number 1730181371
LBN Legal business name Nicol, Theodore H
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jul 28th, 2010 - about 15 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 1730181371 NPPES
Ohio Other 430040270 RAILROAD MEDICARE
Ohio MEDICAID 0690999 RAILROAD MEDICARE

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