Baraceros, Fidelina Nitura
Baraceros, Fidelina Nitura is an individual health care provider with primary practice located at 43750 Woodward Ave Ste 104, Bloomfield Hills MI 48302-5063. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Baraceros, Fidelina Nitura can be contacted via phone (248) 334-6000.Contact Information
Primary practice address
43750 Woodward Ave Ste 104
Bloomfield Hills MI 48302-5063
Phone: (248) 334-6000
Fax: (248) 334-8740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | FB035468 | Michigan |
Profile Details
| NPI number | 1841234622 |
|---|---|
| LBN Legal business name | Baraceros, Fidelina Nitura |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Mar 21st, 2017 - about 7 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 | 1841234622 | NPPES |
| Michigan | Other | FB035468 | STATE LIC NUMBER |
| Michigan | Other | 101152 | STATE LIC NUMBER |
| Michigan | Other | 3506341231 | STATE LIC NUMBER |
| Michigan | MEDICAID | 195380310 | STATE LIC NUMBER |
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