Nickolas Paul Burick
Individual provider Active NPI Homemaker · Lodi, OH
NPI 1205545019 · NPPES record last updated Nov 21, 2022
Key facts
- NPI
- 1205545019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 116 Ohio St
Lodi, OH 44254-1048 - Phone
- (330) 691-9187
- NPI assigned
- Nov 21, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3726000000X | OH | MD | Adult Companion |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Adult Companion | 372600000X | 3726000000X | OH | |
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
116 Ohio St
Lodi, OH 44254-1048
Mailing address
116 Ohio St
Lodi, OH 44254-1048
Phone (330) 691-9187
Other providers in Lodi, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.