Nichols, Gloria Nadine

Nichols, Gloria Nadine is an individual health care provider with primary practice located at 302 W Main St , Fairborn OH 45324-5037. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Nichols, Gloria Nadine can be contacted via phone (937) 281-4673.

Contact Information

Primary practice address
302 W Main St Fairborn OH 45324-5037
Phone: (937) 281-4673
Fax: (937) 318-1120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCIII.162320 Ohio

Profile Details

NPI number 1225515646
LBN Legal business name Nichols, Gloria Nadine
Credentials B.S., LCDC III
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2018
Last updated Jun 21st, 2024 - about 2 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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