Sybrandy-Nicely, Elizabeth G

Sybrandy-Nicely, Elizabeth G is an individual health care provider with primary practice located at 1001 Shroyer Rd , Dayton OH 45419-3635. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Sybrandy-Nicely, Elizabeth G can be contacted via phone (937) 293-8448.

Contact Information

Primary practice address
1001 Shroyer Rd Dayton OH 45419-3635
Phone: (937) 293-8448
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2389 Ohio

Profile Details

NPI number 1235138496
LBN Legal business name Sybrandy-Nicely, Elizabeth G
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Oct 13th, 2020 - about 4 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 1235138496 NPPES
Ohio MEDICAID 0969831
Ohio Other 480020879

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