Barkoff, Nichole Therese

Barkoff, Nichole Therese is an individual health care provider with primary practice located at 23715 Little Mack Ave Ste 100 , Saint Clair Shores MI 48080-1181. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Barkoff, Nichole Therese can be contacted via phone (586) 447-8021.

Contact Information

Primary practice address
23715 Little Mack Ave Ste 100 Saint Clair Shores MI 48080-1181
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005239 Michigan

Profile Details

NPI number 1477710101
LBN Legal business name Barkoff, Nichole Therese
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2008
Last updated May 20th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477710101 NPPES
Michigan Other 5601005239 LICENSE

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