Douglas-Nikitin, Vonda
Douglas-Nikitin, Vonda is an individual health care provider with primary practice located at 3601 W 13 Mile Rd , Royal Oak MI 48073-6712. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is her primary health care specialty. Douglas-Nikitin, Vonda can be contacted via phone (248) 898-5000.Contact Information
Primary practice address
3601 W 13 Mile Rd
Royal Oak MI 48073-6712
Phone: (248) 898-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 4301060103 | Michigan |
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 4301060103 | Michigan |
Profile Details
| NPI number | 1578522041 |
|---|---|
| LBN Legal business name | Douglas-Nikitin, Vonda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Oct 2nd, 2008 - about 17 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 | 1578522041 | NPPES |
| Michigan | MEDICAID | 4689349 | |
| Michigan | Other | 220F349850 |
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