Wadsworth, Nicole

Wadsworth, Nicole is an sole proprietor health care provider with primary practice located at 7123 Pearl Rd , Middleburg Heights OH 44130-4975. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Wadsworth, Nicole can be contacted via phone (440) 842-7990.

Contact Information

Primary practice address
7123 Pearl Rd Middleburg Heights OH 44130-4975
Phone: (440) 842-7990
Fax: (440) 842-8835
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34.007038 Ohio

Profile Details

NPI number 1487677290
LBN Legal business name Wadsworth, Nicole
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Aug 15th, 2016 - about 10 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 1487677290 NPPES
Ohio Other 942460636917 CARESOURCE
Ohio Other P00285501 CARESOURCE
Ohio MEDICAID 2184523 CARESOURCE

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