Nockowitz, Richard A

Nockowitz, Richard A is an sole proprietor health care provider with primary practice located at 1800 Allentown Rd , Lima OH 45805-1873. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Nockowitz, Richard A can be contacted via phone (419) 229-0415.

Contact Information

Primary practice address
1800 Allentown Rd Lima OH 45805-1873
Fax: (419) 229-0419
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 35.072394 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X OH72394 Ohio

Profile Details

NPI number 1245228717
LBN Legal business name Nockowitz, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2005
Last updated Nov 27th, 2023 - about last year

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 1245228717 NPPES
Ohio MEDICAID 2027309

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