Absalom, Nicholas Michael
Absalom, Nicholas Michael is an individual health care provider with primary practice located at 7259 S Bingham Junction Blvd , Midvale UT 84047-4860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Absalom, Nicholas Michael can be contacted via phone (801) 264-6400.Contact Information
Primary practice address
7259 S Bingham Junction Blvd
Midvale UT 84047-4860
Phone: (801) 264-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MC-0602 | Idaho |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2020003928 | Missouri |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD185800 | Oregon |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 310721 | Louisiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME134160 | Florida |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | P0329 | Texas |
Profile Details
| NPI number | 1770744112 |
|---|---|
| LBN Legal business name | Absalom, Nicholas Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2008 |
| Last updated | Nov 29th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770744112 | NPPES |
| New Hampshire | MEDICAID | 3115814 |
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