Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 34.011727 | OH |
N | 207QS0010X | Family Doctor - Sports Medicine | 34.011727 | OH |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 34.011727 | OH |
NPI | 1316208929 |
---|---|
Provider Name | Dr. Nicole Marie Sabatina |
First Address | Lancaster, OH 43130-4056 |
Second Address | Lancaster, OH 43130-1637 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2012 |
Last Update Date | 09/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0158871 | (05) | OH |