Nickasch, Michael

Nickasch, Michael is an individual health care provider with primary practice located at 11116 Medical Campus Rd Ste 2989 , Hagerstown MD 21742-6710. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Nickasch, Michael can be contacted via phone (301) 766-7600.

Contact Information

Primary practice address
11116 Medical Campus Rd Ste 2989 Hagerstown MD 21742-6710
Phone: (301) 766-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D92084 Maryland

Profile Details

NPI number 1952834392
LBN Legal business name Nickasch, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2017
Last updated Aug 19th, 2021 - 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.

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