Dodge, Nancy N

Dodge, Nancy N is an individual health care provider with primary practice located at 35 Michigan St Ne Suite 3003, Grand Rapids MI 49503-2514. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities is her primary health care specialty. Dodge, Nancy N can be contacted via phone (616) 267-2009.

Contact Information

Primary practice address
35 Michigan St Ne Suite 3003 Grand Rapids MI 49503-2514
Phone: (616) 267-2009
Fax: (616) 267-2010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 4301087152 Michigan
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 4301087152 Michigan

Profile Details

NPI number 1801849138
LBN Legal business name Dodge, Nancy N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Oct 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801849138 NPPES
Michigan MEDICAID 4845247
Michigan Other 3504115821

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