Nickras, Judith Garlough
Nickras, Judith Garlough is an sole proprietor health care provider with primary practice located at 530 Crescent Dr , Troy OH 45373-2718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Nickras, Judith Garlough can be contacted via phone (937) 339-3838.Contact Information
Primary practice address
530 Crescent Dr
Troy OH 45373-2718
Phone: (937) 339-3838
Fax: (937) 335-1232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35036285N | Ohio |
Profile Details
| NPI number | 1518966795 |
|---|---|
| LBN Legal business name | Nickras, Judith Garlough |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Oct 4th, 2011 - about 15 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 | 1518966795 | NPPES |
| Ohio | MEDICAID | 0384230 |
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