Nicely, John David

Nicely, John David is an individual health care provider with primary practice located at 602 Michigan Ave , Holland MI 49423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Nicely, John David can be contacted via phone (616) 394-3522.

Contact Information

Primary practice address
602 Michigan Ave Holland MI 49423
Phone: (616) 394-3522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301078807 Michigan

Profile Details

NPI number 1215987367
LBN Legal business name Nicely, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated May 25th, 2010 - about 14 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 1215987367 NPPES
Michigan Other P00161815 RAILROAD MEDICARE

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