Organization
NICHOLSON UROLOGY LLC
Active
Parent organization
WEST CENTRAL OHIO UROLOGICAL CENTERS OF EXCELLENCE, LLC
Other names
Crossroads Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST CENTRAL OHIO UROLOGICAL CENTERS OF EXCELLENCE, LLC
Authorized official
KELLY ELAINE BOWERS BSN, RN (COO/CCO)
(567) 529-9000
Entity
Organization
Contact information
Practice address
2751 FORT AMANDA RD, LIMA, OH 45805-4805
(567) 529-9000
(567) 529-9001
Mailing address
2751 FORT AMANDA RD, LIMA, OH 45805-4805
(567) 529-9000
(567) 529-9001
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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