Condie, Nathan Clyde

Condie, Nathan Clyde is an individual health care provider with primary practice located at 4660 S Hagadorn Rd Ste 500 , East Lansing MI 48823-6804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Condie, Nathan Clyde can be contacted via phone (517) 884-8701.

Contact Information

Primary practice address
4660 S Hagadorn Rd Ste 500 East Lansing MI 48823-6804
Phone: (517) 884-8701
Fax: (517) 884-8787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 362864-1204 Utah
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 5101018410 Michigan

Profile Details

NPI number 1861628430
LBN Legal business name Condie, Nathan Clyde
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2009
Last updated Jun 29th, 2023 - about last year

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 1861628430 NPPES
Michigan MEDICAID 1861528430

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