Dani, Niketa
Dani, Niketa is an individual health care provider with primary practice located at 102 N Adelaide St , Fenton MI 48430-2670. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dani, Niketa can be contacted via phone (810) 629-2245.Contact Information
Primary practice address
102 N Adelaide St
Fenton MI 48430-2670
Phone: (810) 629-2245
Fax: (810) 629-6535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301068226 | Michigan |
Profile Details
| NPI number | 1649272477 |
|---|---|
| LBN Legal business name | Dani, Niketa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Feb 14th, 2020 - about 5 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 | 1649272477 | NPPES |
| Michigan | Other | 1102512701 | BCBS ID |
| Michigan | MEDICAID | 4917570 | BCBS ID |
| Michigan | Other | 0997573 | BCBS ID |
| Michigan | Other | C7533 | BCBS ID |
| Michigan | Other | 381746096 | BCBS ID |
| Michigan | Other | 4301068226 | BCBS ID |
| Michigan | Other | 1020492 | BCBS ID |
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