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Individual

DR. RICHARD A NOCKOWITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1800 ALLENTOWN RD, LIMA, OH 45805-1873
(419) 229-0415
(419) 229-0419
Mailing address
1800 ALLENTOWN RD, LIMA, OH 45805-1873
(419) 229-0415
(419) 229-0419

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
35.072394
OH
2084P0800X
Psychiatry Physician
Primary
OH72394
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2027309
OH
Enumeration date
10/10/2005
Last updated
11/27/2023
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