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E G SYBRANDY-NICELY DPM NPI 1316115900


NPI Information

NPI: 1316115900
Provider Name: E G SYBRANDY-NICELY, DPM

Doing Business As: LISA NICELY, DPM

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1001 SHROYER RD
DAYTON, OH
ZIP 45419
Phone: (937) 293-8448
Get Directions

E G SYBRANDY-NICELY, DPM is a durable medical equipment medical supplies in Dayton, OH. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. E G SYBRANDY-NICELY, DPM NPI is 1316115900. The provider is registered as an organization entity type.
The provider Is Doing Business As Lisa Nicely, Dpm.

The provider's business location address is:

1001 SHROYER RD
DAYTON, OH
ZIP 45419-635
Phone: (937) 293-8448
Fax: (937) 293-8448

The provider's authorized official is Lisa G Nicely .
The authorized official title is Owner/podiatrist and has the following contact phone number (937) 293-8448.

The enumeration date for this NPI number is 2/15/2008 and was last updated on 2/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies36-002389OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U48100MEDICARE UPINOHIO
20830340001MEDICARE NSCOHIO
30969831MEDICAIDOHIO
41235138496OTHEROHIONPI-INDIVIDUAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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