MEDICARE: NICHOLAS ENGLISH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	06534J	MI

General Provider Information

NPI Number	:	1639611148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS ENGLISH

Provider Business Mailing Address
First Line	:	3658 CHICAGO DR STE 1
Second Line	:
City	:	HUDSONVILLE
State	:	MI
Zip	:	49426-2602
Country	:	US
Telephone Number	:	616-662-9150
Fax Number	:	616-582-5974

Provider Business Practice Location Address
First Line	:	3658 CHICAGO DR STE 1
Second Line	:
City	:	HUDSONVILLE
State	:	MI
Zip	:	49426-2602
Country	:	US
Telephone Number	:	616-662-9150
Fax Number	:	616-582-5974

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2016
Last Update Date	:	11/15/2016

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Directions to “ NICHOLAS ENGLISH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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