Provider Demographics
NPI:1932317237
Name:GALANG, NICHOLAS STITH
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:STITH
Last Name:GALANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2939 MOREWOOD RD
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3518
Mailing Address - Country:US
Mailing Address - Phone:330-612-5948
Mailing Address - Fax:
Practice Address - Street 1:1455 CRUSADE DR
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-2209
Practice Address - Country:US
Practice Address - Phone:330-666-1224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide