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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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 1578522041 NPPES
Michigan MEDICAID 4689349
Michigan Other 220F349850

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