Individual
DR. TIM J NICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34600 CHARDON RD, SUITE 9, WILLOUGHBY HILLS, OH 44094-8480
(440) 585-5258
(440) 944-5278
Mailing address
34600 CHARDON RD, SUITE 9, WILLOUGHBY HILLS, OH 44094-8480
(440) 585-5258
(440) 944-5278
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35036891
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34136753400
TAX ID
OH
01
—
35036891
OHIO LICENSE
OH
Enumeration date
09/28/2006
Last updated
06/16/2010
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