Nikonchik, Andrea Suzanne
Nikonchik, Andrea Suzanne is an individual health care provider with primary practice located at 6707 Powers Blvd Ste 203, Parma OH 44129-5455. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Nikonchik, Andrea Suzanne can be contacted via phone (440) 845-1500.Contact Information
Primary practice address
6707 Powers Blvd Ste 203
Parma OH 44129-5455
Phone: (440) 845-1500
Fax: (440) 845-9227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35062599 | Ohio |
Profile Details
| NPI number | 1730284241 |
|---|---|
| LBN Legal business name | Nikonchik, Andrea Suzanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Dec 15th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730284241 | NPPES |
| Ohio | MEDICAID | 0848579 | |
| Ohio | MEDICAID | 1730284241 |
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