Bazger, Nickole
Bazger, Nickole is an individual health care provider with primary practice located at 18080 Mack Avenue , Grosse Pointe MI 48230. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Reproductive Endocrinology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is her primary health care specialty. Bazger, Nickole can be contacted via phone (313) 499-8368.Contact Information
Primary practice address
18080 Mack Avenue
Grosse Pointe MI 48230
Phone: (313) 499-8368
Fax: (313) 789-1810
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 5101020175 | Michigan |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 5101020175 | Michigan |
Profile Details
NPI number | 1609031202 |
---|---|
LBN Legal business name | Bazger, Nickole |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 23rd, 2008 |
Last updated | Feb 3rd, 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 | 1609031202 | NPPES |
Michigan | MEDICAID | 1609031202 |
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