Angela Lynn Nicholson, LMT is a
Massage Therapist based in Fowler, Ohio. Angela Lynn Nicholson is licensed to practice in Ohio (license number 33.012112) and her current practice location is
5273 Cadwallader Sonk Rd, Fowler, Ohio. She can be reached at her office (for appointments etc.) via phone at
(724) 718-8389.
NPI number for Angela Lynn Nicholson is 1518620061 and her current mailing address is Po Box 84, Fowler, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518620061.
Healthcare Provider's Profile
| Full Name | Angela Lynn Nicholson |
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| Gender | Female |
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| Speciality | Massage Therapist |
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| Location | 5273 Cadwallader Sonk Rd, Fowler, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518620061
- Provider Enumeration Date: 10/20/2021
- Last Update Date: 10/20/2021
Medical Identifiers
Medical identifiers for Angela Lynn Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518620061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 33.012112 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Lynn Nicholson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Angela Lynn Nicholson, LMT
Po Box 84,
Fowler, OH 44418-0084
Ph: (724) 718-8389 | Angela Lynn Nicholson, LMT
5273 Cadwallader Sonk Rd,
Fowler, OH 44418-9735
Ph: (724) 718-8389 |
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