Individual
MR. NICHOLAS DELLERBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2274 LOCKAMY CT, GROVE CITY, OH 43123-1565
(614) 202-9202
Mailing address
2274 LOCKAMY CT, GROVE CITY, OH 43123-1565
(614) 202-9202
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2573648
—
OH
Enumeration date
12/19/2022
Last updated
12/19/2022
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